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  • Withdrawal of Consent

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    MyGTMOAngel2009
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    I, the undersigned [enter name] (the child) state as follows: I withdraw my consent given on [enter date], to the child being placed for adoption by the adoption agency in the matter and to the future adoption of the child.

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    Withdrawal of Consent [1]

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    I, the undersigned [enter name] (the child) state as follows: I withdraw my consent given on [enter date], to the child being placed for adoption by the adoption agency in the matter and to the future adoption of the child.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOC, PDF, TXT or read online from Scribd
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    14 views1 page

    Withdrawal of Consent

    Uploaded by

    MyGTMOAngel2009
    I, the undersigned [enter name] (the child) state as follows: I withdraw my consent given on [enter date], to the child being placed for adoption by the adoption agency in the matter and to the future adoption of the child.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOC, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 1

    INSERT SECURITY CLASSIFICATION

    Withdrawal of Consent
    Sections 19 and 20 of the Adoption and Children Act 2002
    Name of child [enter name of child] Name and address of the adoption agency in the matter: [enter address] I, the undersigned [enter name] of [enter text] being the parent/guardian of [enter name of child] (the child) state as follows: *I withdraw my consent given on [enter date], to [enter name of child] (the child) being placed for adoption by the adoption agency in the matter. *I withdraw my consent given on the [enter date] to [enter name of child] (the child) being placed for adoption by the adoption agency in the matter and to the future adoption of the child. *I withdraw my consent to the future adoption of [enter name of child] (the child) given on the [enter date] (* complete/delete as applicable) Signed.................................................................................................................... On the.............................................day of ....................................................20xx

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