Monday 10 October 2016

APPLICATION FOR SURRENDER OF CHILD

 from:bhlakshmidcpovzm@gmail.com] 
Sent: Sat, September 8, 2016 10:02 AM
To: helpap@gmail.com

Respected Sir,
Please give details on ‘Application for Surrender of Child?
Thanking you,
 Your’s sincerely,  
Bh.Lakshmi
DCPO -DCPU ,
Vizainagaram  district.  

     Thank u respected lakshmi garu please give bellow application for Surrender of Child as per JJ CENTRAL RULES .                                                           

FORM 23

[Rule 19(22)]
APPLICATION FOR SURRENDER OF CHILD
Date ……….
To
Child Welfare Committee,
District……………….

I/ We………………(name of the applicant/s) …………….(relation with the child)
of……………….(name of the child), aged about……….years , intend to surrender…………………..name of
child)beforethisChildWelfareCommittee as……………………………………………………….(reason/s for surrender).
I/we am /are fully conscious and making this application before this Child Welfare Committee. I have not been forced or unduly influenced by any one to take this decision of Surrendering……………………. (name of child). I shall have no objection if the child is given in adoption. Iam fully aware of the consequences of surrendering the child.
Full signature of the applicant(s)/
Thumb impression (if the CWC deems appropriate)
Name and address.
…………………………….
(Signature of the Chairperson/ member
Before whom such application is submitted)
Committee member/s present:____________________
Date…………………..
Time……………………
Place…………………..


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