Be it known to all that I......................... aged about.......... years son of......................... resident of......................... has adopted Shri son of......................... aged......................... years whose natural father is......................... son of......................... resident of...........
It is hereby further declared that for this
adoption, I have consent of my wife ..........................
Shri......................... the natural father of the said.........................
has also obtained the consent of his wife......................... for giving
their son to me in adoption.
That after signing of this declaration the
said......................... shall become the adopted son with all rights of
adopted son.
Witnesses Signature
1..........................
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