Application for a Convention Adoption Order (Section 46 Adoption and Children Act 2002)
| Published date | 21 March 2018 |
| Subject Matter | Adoption forms |
Name of court
Serial no.
Date received by the court
Date issued
Fee charged/Remission ID
Application for a
Convention adoption order
Notes to applicants
• This form should only be used if you wish to apply for a Convention adoption order.
• You shall need to complete Form A61 (Application for parental responsibility prior to adoption abroad) if you
intend to adopt a child who is habitually resident in the United Kingdom (or who is a Commonwealth citizen)
in a place outside of the British Islands (and provided you do not already have an order to remove the child
under the Adoption (Scotland) Act 1978 or the Adoption (Northern Ireland) Order 1987), even if you will be
applying for a Convention adoption order in a place outside the British Islands.
• Before lling in this form, please read the guidance notes on completing the form.
• Please complete every Part. If you are not sure of the answer to any question, or you do not think that it
applies to you, please say so.
• If there is not enough room on the form for your reply, you may continue on a separate sheet. Please put the
child’s full name, the number of the Part and the paragraph reference at the head of the continuation sheet.
• Please use black ink when lling in the form.
I/We the undersigned
(and )
wish to adopt
and give the following details in support of my/our application
See Note 1
Part 1 About you
First applicant
a) Title
b) My name is
First name(s) in full
Last name
See Note 2
Second applicant
b) My name is
First name(s) in full
Last name
Mr Mrs Miss
Ms Other
a) Title
Mr Mrs Miss
Ms Other
A59 Application for a Convention adoption order (11.16) © Crown copyright 2016
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