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67.12.—(1) A declaration under section 18(6) or 19(4) of the Act of 1978 (declaration of preference not to be involved in future questions concerning adoption) shall be in Form 67.12.
(2) A declaration referred to in paragraph (1) which is executed furth of Scotland shall be witnessed in accordance with rule 67.5(3).
(3) The making of a declaration referred to in paragraph (1) shall be recorded in an interlocutor pronounced by the court.
(4) For the purposes of section 19(4)(a) of the Act of 1978, the adoption agency shall–
(a)lodge the declaration, and
(b)apply to the court by motion,
in the process of the petition to which the declaration relates to have that declaration recorded.
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