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The Rules of the Supreme Court (Northern Ireland) (Amendment No. 4) 1996

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Form 48DDeclaration as to parentage under Article 32(1)(a) of the Matrimonial and Family Proceedings (Northern Ireland) Order 1989

(Order 98 rule 18(1))

In the High Court of Justice in Northern Ireland

Family Division

Probate and Matrimonial Office

Upon the petition of

(the petitioner) and upon hearing

(the respondent)

It is declared that(the parent of the petitioner) is (or was) the parent of the said

Signed

Dated

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