DECLARATION BY THE GUARDIAN
KNOW ALL MEN BY THESE PRESENTS that I, ___________,S/o
________________, R/o ____________________hereby declare that I being guardian
_______________of ________________ (name of the child) and having obtained
the permission of court dated _____________ have given my ward in adoption
to _______________, S/o __________________ R/o_________________ for which the
ceremony of giving and taking have taken place on _____________ . From the
date of adoption, he shall be the adopted son of ________.
_________________.
(GUARDIAN)