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.