Regulations 7(2)(b) and (c) and (3)(b), and 8(2)(b) and (c)
1. Name, sex, date and place of birth and address.
2. Whether legitimate or illegitimate at birth and, if illegitimate whether subsequently legitimated.
3. Nationality.
4. Physical description.
5. Personality and social development.
6. Religion, including details of baptism, confirmation or equivalent ceremonies.
7. Details of any wardship proceedings and of any court orders or local authority resolutions relating to the parental rights and duties in respect of the child or to his custody and maintenance.
8. Details of any brothers and sisters, including dates of birth, arrangements in respect of care and custody and whether any brother or sister is also being considered for adoption.
9. Extent of access to members of the child's natural family and, if the child is illegitimate, his father, and in each case the nature of the relationship enjoyed.
10. If the child has been in the care of a local authority or voluntary organisation, details (including dates) of any placements with foster parents, or other arrangements in respect of the care of the child, including particulars of the persons with whom the child has had his home and observations on the care provided.
11. Names, addresses and types of schools attended, with dates and educational attainments.
12. Any special needs in relation to the child's health (whether physical or mental) and his emotional and behavioural development and whether he is subject to a statement under the Education Act 1981.
13. What, if any, rights to or interest in property or any claim to damages, under the Fatal Accidents Act 1976 or otherwise, the child stands to retain or lose if adopted.
14. Wishes and feelings in relation to adoption and, as the case may be, an application under section 14 of the 1975 Act, including any wishes in respect of religious and cultural upbringing.
15. Any other relevant information which the agency considers may assist the panel.
1. Name, date of birth, sex, weight and height.
2. A neo-natal report on the child, including—
(a)details of the birth, and any complications,
(b)results of a physical examination and screening tests,
(c)details of any treatment given,
(d)details of any problem in management and feeding,
(e)any other relevant information which may assist the panel,
(f)the name and address of any doctor who may be able to provide further information about any of the above matters.
3. A full health history and examination of the child, including—
(a)details of any serious illness, disability, accident, hospital admission or attendance at an out-patient department, and in each case any treatment given,
(b)details and dates of immunisations,
(c)a physical and developmental assessment according to age, including an assessment of vision and hearing and of neurological, speech and language development and any evidence of emotional disorder,
(d)for a child over five years of age, the school health history (if available),
(e)any other relevant information which may assist the panel.
4. The signature, name, address and qualifications of the registered medical practitioner who prepared the report, the date of the report and of the examinations carried out together with the name and address of any doctor (if different) who may be able to provide further information about any of the above matters.
1. Name, date and place of birth and address.
2. Marital status and date and place of marriage (if any).
3. Past and present relationship (if any) with the other natural parent, including comments on its stability.
4. Physical description.
5. Personality.
6. Religion.
7. Educational attainments.
8. Past and present occupations and interests.
9. Names and brief details of the personal circumstances of the parents and any brothers and sisters of the natural parent, with their ages or ages at death.
10. Wishes and feelings in relation to adoption and, as the case may be, an application under section 14 of the 1975 Act, including any wishes in respect of the child's religious and cultural upbringing.
11. Any other relevant information which the agency considers may assist the panel.
1. Name, date of birth, sex, weight and height.
2. A family health history, covering the parents, the brothers and sisters (if any) and the other children (if any) of the natural parent with details of any serious physical or mental illness and inherited and congenital disease.
3. Past health history, including details of any serious physical or mental illness, disability, accident, hospital admission or attendance at an out-patient department, and in each case any treatment given.
4. A full obstetric history of the mother, including any problems in the ante-natal, labour and post-natal periods, with the results of any tests carried out during or immediately after pregnancy.
5. Details of any present illness, including treatment and prognosis.
6. Any other relevant information which the agency considers may assist the panel.
7. The signature, name, address and qualifications of any registered medical practitioner who supplied any of the information in this Part together with the name and address of any doctor (if different) who may be able to provide further information about any of the above matters.
1. Particulars referred to in paragraphs 1, 6, 10 and 11 of Part III.
1. Name, date and place of birth and address.
2. Domicile.
3. Marital status, date and place of marriage (if any) and comments on stability of relationship.
4. Details of any previous marriage.
5. If a married person proposes to adopt a child alone, the reasons for this.
6. Physical description.
7. Personality.
8. Religion, and whether willing to follow any wishes of a child or his natural parents or guardian in respect of the child's religious and cultural upbringing.
9. Educational attainments.
10. Past and present occupations and interests.
11. Details of income and comments on the living standards of the household.
12. Details of other members of the prospective adopter's household (including any children of the prospective adopter even if not resident in the household).
13. Details of the parents and any brothers or sisters of the prospective adopter, with their ages or ages at death.
14. Attitudes to adoption of such other members of the prospective adopter's household and family as the agency considers appropriate.
15. Previous experience of caring for children as step-parent, foster parent, child-minder or prospective adopter and assessment of ability in this respect, together where appropriate with assessment of ability in bringing up the prospective adopter's own children.
16. Reasons for wishing to adopt a child and extent of understanding of the nature and effect of adoption.
17. Assessment of ability to bring up an adopted child throughout his childhood.
18. Details of any adoption allowance payable.
19. Names and addresses of two referees who will give personal references on the prospective adopter.
20. Name and address of the prospective adopter's registered medical practitioner, if any.
21. Any other relevant information which the agency considers may assist the panel.
1. Name, date of birth, sex, weight and height.
2. A family health history, covering the parents, the brothers and sisters (if any) and the children (if any) of the prospective adopter, with details of any serious physical or mental illness and inherited and congenital disease.
3. Marital history, including (if applicable) reasons for inability to have children.
4. Past health history, including details of any serious physical or mental illness, disability, accident, hospital admission or attendance at an out-patient department, and in each case any treatment given.
5. Obstetric history (if applicable).
6. Details of any present illness, including treatment and prognosis.
7. A full medical examination.
8. Details of any daily consumption of alcohol, tobacco and habit-forming drugs.
9. Any other relevant information which the agency considers may assist the panel.
10. The signature, name, address and qualifications of the registered medical practitioner who prepared the report, the date of the report and of the examinations carried out together with the name and address of any doctor (if different) who may be able to provide further information about any of the above matters.