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1. Title and Reference Number: Official title of the document and any reference numbers assigned by relevant authorities
2. Declaration of Parties: Full legal names and details of the biological parent(s)/legal guardian(s) giving consent
3. Child's Details: Complete information about the child including full name, date of birth, place of birth, and birth certificate number
4. Consent Statement: Clear and unequivocal statement of consent to the adoption, including acknowledgment of the legal implications
5. Understanding of Legal Effects: Statement confirming the parent's understanding that the consent is irrevocable and terminates all parental rights
6. Verification of Voluntary Consent: Declaration that the consent is given freely and without coercion or inducement
7. Witness Statement: Space for witness details and attestation of the consent's execution
8. Execution Block: Formal signing section including date, signatures, and details of all parties involved
1. Islamic Law Declaration: Required for Muslim parents, including specific declarations in accordance with Shariah law
2. Interpreter's Declaration: Required when the consent form is explained through an interpreter
3. Special Conditions: Any specific conditions or requests the biological parents wish to make regarding the adoption
4. Revocation Period Waiver: Optional waiver of any applicable revocation period, if permitted by law
5. Mental Capacity Declaration: Additional declaration regarding the mental capacity of the consenting parent, if required by circumstances
1. Schedule A - Identity Documents: Copies of identification documents of the biological parent(s) giving consent
2. Schedule B - Child's Documents: Copy of child's birth certificate and other relevant identification documents
3. Schedule C - Medical Information: Relevant medical history or health information about the child
4. Schedule D - Court Orders: Copies of any existing court orders relating to the child's custody or care
5. Schedule E - Witness Identification: Copies of identification documents of witnesses to the consent
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