HKLII Hong Kong Regulations

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ADOPTION RULES,ADOPTION RULES - SCHEDULE 1



(Past version on 25/01/2006).
(Past version on 01/07/1997).
(Past version on 30/06/1997).


SCHEDULE 1
[rule 2]
(L.N. 230 of 2005)
FORM 1
[rule 3]
Notice of Intention to apply for an Adoption Order

ADOPTION ORDINANCE

(Chapter 290)

Notice is hereby given, in accordance with the provisions of section 5(7) of the Adoption Ordinance that(1) ...............................................................................................(and ...................................................... both) of ...........................................................................................................................................................
..........................................................................................................................................................intend to apply for an Order authorizing them to adopt a male/female infant known as(2) ...............................................................
.......................................................................................................................................

Dated this ............. day of ...................................
(3)..................................................
..................................................
_____________________________________________________________________________
Notes:
(L.N. 526 of 1994; 28 of 2004 s. 35)
ANNEX TO FORM 1

Authorization for Criminal Record Check

To: Commissioner of Police
In connection with my application for assessment of suitability to be an adoptive parent under Section 5AA*/27* of the Adoption Ordinance (Cap 290), I hereby authorize you, or your designate, to conduct criminal record check on myself and to inform and release to the Director of Social Welfare*/ ...........................................................(name of accredited body*)(1) of ..............................................................................................................................................
................................................................................................................................................... (address) the particulars of my previous conviction(s) (if any) in Hong Kong or elsewhere.
For the purpose of criminal record check, I also agree to attend before a public officer authorized by you, who may take and record my fingerprints for checking against police records.
For the purpose of conducting the criminal record check, please note my particulars as follows-
Name in full (Block letters) ..................................................................................................................
HKID Number ...................................................................................................................................
Travel Document Number ...................................................................................................................
Chinese Commercial Code (if applicable) ..............................................................................................
Date of Birth (Day/month/year) ...........................................................................................................
Place of Birth .....................................................................................................................................
Signature of Applicant .........................................................................................................................
Signature of Witness(2) .........................................................................................................................
Post title of Witness ............................................................................................................................
Date ...................................................................................................................................................
* Delete as appropriate
_____________________________________________________________________________
Note:
(28 of 2004 s. 35; L.N. 230 of 2005; 10 of 2008 s. 45)
____________

FORM 2
[rule 5]
Originating summons on application for an Adoption Order
20 , No.
IN THE DISTRICT COURT OF HONG KONG

His Honour Judge
IN THE MATTER OF A.B.(1) ................................................................................................................... an infant,
and

IN THE MATTER OF the Adoption Ordinance.
BETWEEN C.D. APPLICANT
AND A.B.(1) RESPONDENT

To A.B. of
By this summons, which is issued on the
application of the applicant C.D. of , the
applicant applies for an order-

Dated the day of .

This summons was taken out by
of , solicitors for the said
applicant whose address is as stated above.
_____________________________________________________________________________
Notes:
(1) Enter the name(s) and surname which the infant is to bear after the adoption.
(2) Delete this paragraph if the Director of Social Welfare is to act as guardian ad litem.
(L.N. 139 of 1986; L.N. 526 of 1994; 28 of 2004 s. 35)
_______________

FORM 3
[rule 10]
Statement in support of application for an Adoption Order (1)

[Heading as in Form 1]

1. I, the undersigned, C.D./We, the undersigned, C.D. and E.D. desire to adopt A.B.(2) an infant, under the Adoption Ordinance.
2. I am/We are resident in Hong Kong.
3. I am unmarried/a widow/widower/I am married to E.D. of ....................................... ............................................................./We are married to each other and are the persons to whom the attached marriage certificate (or other evidence of marriage) relates.
4. The infant is of the ..................................................... sex and unmarried. He/She was born on the ................................................... and is the person to whom the attached birth certificate(3) relates/was born on or about the ..............................................., in ..........................................................................................................(4)
5. The infant is the child/adopted child of(3) F.B. of .................................................................................../whose last known address was ......................................................................../deceased [and
G.B. of .................................................................................../whose last known address was ......................................................................../deceased](5).
[6. The guardian of the infant is H.K. of ................................................................/The guardians of the infant are H.K. of ........................................................................................................................... and J.B. of ..........................................................................................................................](6).
[7. L.M. of ........................................................................................ is liable by virtue of an order or agreement to contribute to the maintenance of the infant](7).
8. I/We attach a document/documents signifying the consent of the said ........................................ ..................................................(8) to the making of an adoption order upon my/our application.
[9. I/We request the judge to dispense with the consent of the said .................................................. ..............................................................................(9) on the following grounds ..................................................... ...............................................................................]
10. The infant was received into my/our actual custody on the ....................................... , from ..................... of ................................................................................ and has been continuously in my/our actual custody since that date.
11. I/We lodged with the Director of Social Welfare on the ............................................ day of ............................ ........ , notice of my/our intention to apply for an Adoption Order in respect of the infant.
[12. A certificate as to physical and mental health of the infant, signed by a registered medical practitioner on the ........................................................................, is attached](10).
13. I/We have not received or agreed to receive, and no person has made or given or agreed to make or give to me/us, any payment or other reward in consideration of the adoption [except as follows:
............................................................................................................................................................]
14. I have not made/Neither of us has made a previous application for the adoption of the same infant or any other infant in Hong Kong or elsewhere [except an application made to the ................................................. at ......................................................................................................................................... on the .................................................................. ......... , which was dealt with as follows:
............................................................................................................................................................]
[15. For the purposes of my/our application reference may be made to N.O. of ...............................................................................................................................](11).
[16. I/We desire that my/our identity should be kept confidential, and the serial number of this application is .............................................................................................................](12), or [I/We do not desire that my/our identity should be kept confidential].
17. Further particulars of myself/ourselves are set out in the annex to this statement.
18. If an adoption order is made in pursuance of my/our application, it is proposed that the infant should be known as ............................................................................................................................................
Dated this ..................... day of ......................................
...............................................................

...............................................................
(Usual signature of applicant/applicants)

ANNEX TO FORM 3
Further particulars of applicant or applicants

Particulars of C.D.

Name in full (Block capitals) ...............................................................................................................
...............................................................................................................

Address .............................................................................................................................................
.............................................................................................................................................

Occupation ........................................................................................................................................
........................................................................................................................................

Date of Birth ......................................................................................................................................
.....................................................................................................................................

Relationship (if any) to the infant .........................................................................................................
.........................................................................................................
Particulars of E.D.

Name in full (Block capitals) ...............................................................................................................
..............................................................................................................

Address .............................................................................................................................................
.............................................................................................................................................

Occupation ........................................................................................................................................
........................................................................................................................................

Date of Birth ......................................................................................................................................
.....................................................................................................................................

Relationship (if any) to the infant .........................................................................................................
.........................................................................................................

______________________________________________________________________________
Notes:
(L.N. 337 of 1982; L.N. 526 of 1994; 28 of 2004 s. 35; L.N. 230 of 2005)
____________

FORM 4
[rule 10]
Specific consent to the adoption of an infant named A.B.(1)


Whereas an application is to be made [by C.D./C.D. and E.D.](2) or [under the serial number ..................................................................................];
Whereas the said A.B. (hereinafter called the infant) is not less than 4 weeks old, having been born in ........................................... on the .................................................................. ................, and is the person to whom the birth certificate(3) now produced and shown to be marked "A" relates:
I, the undersigned ........................................... of ............................... being(5)-hereby state as follows:-
(1) I understand that once the infant is adopted (whether in Hong Kong or elsewhere), a permanent parentchild relationship between the adopter and the infant will be created.
(2) I understand that when the application for the adoption of the infant is made, this document may be used as evidence of my consent to the adoption.(6)
(3) I hereby consent to the adoption of the infant by [C.D./C.D. and E.D.].

.................................................
(Signature)

Signed at ............................................................. on ................................................ by the said ..................................................................................... who satisfied me that he/she* fully understood the nature of the foregoing statement and agreed to the placement of the infant for adoption.

Before me (Signature) .................................
(Address) ...................................................
(Description)(6) ............................................
Notes:
_____________

FORM 4A
[rule 10]
General consent of parent to the adoption of an infant

ADOPTION ORDINANCE

(Chapter 290)

I, the undersigned ................................................................................................ [Hong Kong Identity Card No. ...................................................... ] of ............................................................................. .................................................................. being the married/unmarried/widowed(1) parent of(2) .................................................. a male/female(1) infant (hereinafter called the infant) who was born in .......................................................................................... on the ....................... day of ................................... consent to the infant to whom the birth certificate no. ....................... (3) now produced and marked "A" relates to be adopted by any person or persons approved and selected to adopt the infant in accordance with the law of Hong Kong or the country in which the application for adoption will be made and I state as follows-

(1) I understand that upon execution of this form by me, I shall cease to have any parental rights, duties, obligations or liabilities in respect of the infant.

(2) I understand that when the application for the adoption of the infant is made, this document may be used as evidence of my consent to the adoption.(4)


....................................................
(Signature)
Signed at .............................................................. on ...............................................................
by the said ..........................................................................................................................................
who satisfied me that he/she(1) fully understood the foregoing statement and agree to the placement of the infant for adoption and relinquish all parental rights, duties, obligations and liabilities in respect of the infant.

Before me (Signature) .................................
(Address) ...................................................
(Description)(4) ............................................
..................................................................
----------------------------------------------------------------------------------------------------------------------
Notes:
FORM 4B
[rule 10]
Specific consent to the adoption of an infant
named A.B.(1) by a step-parent
(as sole applicant)

Whereas an application (by a sole applicant) is to be made [by ...........................................................................being the step-parent of the said infant ....................................................................................................................] or [(2)under the serial number ..................................................................................................................................];
[Whereas the said ...............................................(hereinafter called the infant) is not less than 4 weeks old, having been born in .............................................................................................................. on the ......................................................... ; and is the person to whom the birth certificate(3) now produced and shown to be marked "A" relates](4):
I, the undersigned ..........................................................................................................................
............................................................................................................................................................. ,
of ............................................................................................................................................................
.................................................................... being the father/mother* of the infant [as well as the spouse of the said ..........................................................................](5) hereby state as follows:—
(1) I understand that once the infant is adopted (whether in Hong Kong or elsewhere), a permanent parentchild relationship between the adopter and the infant will be created.
(2) I understand that when the application for the adoption of the infant is made, this document may be used as evidence of my consent to the adoption.(7)
(3) I hereby consent to the adoption of the infant by ........................ .

....................................................
(Signature)

Signed at ......................................................................on ....................................................................... by the said ............................................................................................................................................................who satisfied me that he/she* fully understood the nature of the foregoing statement and the effect of the infant being adopted by ........................ .


Before me (Signature) ...................................................



(Address) ........................................................................
........................................................................................
(Description)(7) ................................................................

* Delete as appropriate
_____________________________________________________________________________
Notes:
(28 of 2004 s. 35; L.N. 230 of 2005)
_______________

FORM 5
[rule 12]
Notice of application for an adoption order in respect
of an infant named A.B.(1)

To ................................................................... of ............................................................... (2).
Whereas an application has been made [by C.D./C.D. and E.D.] (3) or [under the serial number ....................................................................................................................];
And whereas I, ........................................... of ............................................................. am the guardian ad litem of the said infant;
Take notice that while the said application is pending, you must not, except with the leave of the judge, remove the infant from the care and possession of the applicant. Application for such leave may be made to the judge, District Court, Hong Kong.
Dated the .............. day of ........................................

(Signature of guardian ad litem) ........................................................
_____________________________________________________________________________
Notes:
(L.N. 337 of 1982; L.N. 526 of 1994; 28 of 2004 s. 35)
_______________

FORM 6
[rule 16]

Notice of hearing of application for an adoption order
in respect of an infant named A.B.(1)

To ................................................................. of .................................................................. (1A).
Whereas an application has been made [by C.D./C.D. and E.D.] (2) or [under the serial number .................................................................................................];
And whereas I, ............................................ of .................................... am the guardian
ad litem of the said infant;
Take notice:
A.(3) [That the said application will be heard at the District Court, Hong Kong on the ............................................, at the hour of .......................... in the ........................ noon, and that you may appear to show cause why the adoption order should not be made.]
B.(3) [That if you do not consent to the making of the order, you should notify me on or before .................................., in order that a date and time may be fixed for you to attend and show cause why the adoption order should not be made. The form below may be detached and used for this purpose.]
Dated the ....................... day of .......................................

(Signature of guardian ad litem) ................................................
-----------------------------------------------------------------------------------------------------------------
Notes:
------------------------------------------------ Perforation ----------------------------------------------

To: The Director of Social Welfare, Hong Kong.
I have received notice of the hearing of the application for an adoption order in respect of A.B. an infant.or
Delete (a) or (b) (b) I do not consent to the making of this order and I wish a date and time to be fixed for my attendance when I may state my case.

........................................................... ............................................................
(Signature)

............................................................... ............................................................
(Date) (Address)
(L.N. 337 of 1982; L.N. 526 of 1994; 28 of 2004 s. 35; L.N. 230 of 2005)
______________

FORM 7
[rule 19]
Adoption order in respect of an infant
[Heading as in Form 1]

Application having been made by C.D., by occupation ..................................................... and resident at ........................................................ [and E.D. his wife] (hereinafter called the applicant/applicants) for an order under the Adoption Ordinance, authorizing him/her/them to adopt A.B., an infant, the child/adopted child of F.B./F.B. and G.B.;

And the said A.B. (hereinafter called the infant) being of the ........................................... sex, and never having been married;

And the applicant/one of the applicants
[And the names by which the infant is to be known being P.D.](1).

[And it having been proved to the satisfaction of the judge that the infant is identical with A.B., to whom the entry numbered ......................................................................................... and made on the ..................................., in the registers of births in the registration office at .................................................................................. relates.](2)

And the [probable](3) date of the birth of the infant is the .............................. ............................................

[And the infant having been previously the subject of an adoption order dated the .............. ................................., of which particulars are entered in the Adopted Children Register](4);
And all the consents required by the said Ordinance being obtained or dispensed with;

It is ordered that the applicant/applicants be authorized to adopt the infant;

[And the following payment or reward is sanctioned:
.....................................................................................................................................................]

[And as regards costs it is ordered that:
.....................................................................................................................................................]

And it is directed that the Registrar of Births and Deaths shall make in the Adopted Children Register an entry recording the adoption in accordance with the particulars set out in the Schedule to this order.

[And it is further directed that the Registrar of Births and Deaths shall cause the said entry in the registers of births to be marked with the word "adopted" or the words "受領養"](2).

[And it is further directed that the Registrar of Births and Deaths shall cause the previous entry in the Adopted Children Register relating to the infant to be marked with the word re-adopted" or the words "再受領養"](4).

Dated the .............. day of ..................................

.............................................................
Registrar, District Court/High Court.
_______________

SCHEDULE

1.
Date(5) and country
of birth of child
2.
Surname and name of child(6)
3.
Sex of child
4.
Surname and name, address
and occupation of adopter(s)
5.
Date of adoption order
Notes:
(L.N. 337 of 1982; 80 of 1997 s. 121; 28 of 2004 s. 35; L.N. 230 of 2005)

____________

FORM 8
[rule 19]
Interim order in respect of an infant
[Heading as in Form 1]

Application having been made by C.D., by occupation ..................................................... and resident at ........................................................ [and E.D. his wife] (hereinafter called the applicant/applicants) for an order under the Adoption Ordinance, authorizing him/her/them to adopt A.B., an infant, the child/adopted child of F.B./F.B. and G.B.;

And the said A.B. (hereinafter called the infant) being of the ........................................... sex, and never having been married;

And the applicant/one of the applicants

And all the consents required by the said Ordinance being obtained or dispensed with;

It is ordered that the determination of the application be postponed, and the custody of the infant be given to the applicant/applicants for a period ending on the .................................... by way of a probationary period upon the following terms, namely ............................................
........................................................................................................................... and that the applicant/applicants shall at least 2 months before that date apply for the final determination of the application;

[And as regards costs it is ordered that ....................................................................................
............................................................................................................................................]

Dated the ................ day of .....................................

.........................................................
Registrar, District Court/High Court.
(L.N. 337 of 1982; 28 of 2004 s. 35; L.N. 230 of 2005)
____________

FORM 9
[rule 23]
Notice of further hearing of application for an adoption order
in respect of an infant named A.B.(1)

To ................................................................... of ................................................................
Whereas an application has been made [by C.D./C.D. and E.D.](2) or [under the serial number ....................................................................................];
And whereas I, ........................................... of .............................................................
am the guardian ad litem of the said infant;
And whereas the determination of the said application was postponed and an interim order was made by His Honour Judge/the Hon. Mr. Justice .............................. on the .........................................
Take notice:
A.(3) [That the said application will be further heard before the judge at the District Court/Court of First Instance, Hong Kong, on the ........................................................................................................... at the hour of ................................................................................. in the ........................ noon and that you may appear to show cause why the adoption order should not be made].
B.(3) [That if you do not consent to the making of the order, you should notify me on or before ........................................................, in order that a date and time may be fixed for you to attend and show cause why the adoption order should not be made. The form below may be detached and used for this purpose].

Dated the ...................... day of ......................................

(Signature of guardian ad litem) .................................................
-----------------------------------------------------------------------------------------------------------------
Notes:
---------------------------------------------- Perforation -----------------------------------------------

To: The Director of Social Welfare, Hong Kong.

I have received notice of the further hearing of the application for an adoption order in respect of A.B. an infant.

Delete (a) or (b) (a) I consent to the making of this order.
(Signature) .............................................
.............................................

(Address) .............................................
.............................................

........................................................
(L.N. 337 of 1982; L.N. 526 of 1994; 28 of 2004 s. 35; L.N. 230 of 2005)
(First Schedule replaced G.N.A. 76 of 1960)


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