THE GAZETTE OF INDIA EXTRAORDINARY
regulations · 2015 · State unknown
Parent: THE JUVENILE JUSTICE (CARE AND PROTECTION OF CHILDREN) ACT, 2015 (054b319c65f7c641ecd5d36e86bd5b1a288281c0)
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Rule TOC
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45 · years
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55 · years
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1 · In exercise of the powers vested in the Child Welfare Committee_ under section 38 of the Juvenile Justice (Care and Protection of Children) Act; 2015 (2 of 2016), child _ date of birth . :placed in the care of the Specialized Adoption Agency/Child Care Institution(name and address) vide order no_ dated. of this Committee, is hereby declared legally free for adoption on the basis of the following: Inquiry report of the Probation Officer/ Child Welfare Officer Social Worker Case Workerlany other (as the case may be); Deed of surrender executed by the biological parent(s) or the legal guardian of the child before this Committee on (date);
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2 · If yes: Children' s ordinary diseases (whooping cough, measles, chicken-pox, rubella, mumps): Tuberculosis:
2 · Colour of hair: 3_ Colour of eyes: Colour of skin:
5 · Through my complete clinical examination of the child [ have observed the following evidence of disease, impairment Or abnormalities (in case applicable): Head (form of skull, hydrocephalus, craniotabes (ii) Mouth and pharynx (harelip O cleft palate, teeth) (iii) Eyes (vision, strabismus, infections) (iv) Ears (infections, discharge, reduced hearing, deformity) Any dysmorphic facies? If yes, describe vi) Organs of the chest (heart, lungs) vii) Lymphatic glands (adenitis) viii) Abdomen (hernia, liver, spleen) (ix) Genitals (hypospadia, testis, retention) Spinal column (kyphosis, scoliosis) (xi) Extremities (pes equines, valgus, varus, pes calcaneovarus, flexation of the hip, spasticity paresis) (xii) Skin (eczema, infections, parasites) (xiii) Other diseases?
7 · Any symptoms of tuberculosis? Result of tuberculin test made (date and year): Positive or Negative Or Not done
10 · HIV Test (refer to Standard Medical Test at Schedule IV) HCV (Hepatitis C) (refer to Standard Medical Test at Schedule IV)
11 · Does the urine contain: Sugar? Albumen? Phyenylketone?
12 · Stools (diarrhoea, constipation):
13 · Is there any mental disorder O retardation of the child?
14 · Give a description of the mental development; behaviour and skills of the child.
15 · Any additional comments? Note: 1 . Refer to Infants between month to year of age in Section B of Medical Test in Schedule IV. 2 Refer to Age 1-3 years and more than 3 years of Medical Test in Schedule IV [paragraph (C)]:
1 · The child s eyes follows rattles or toys; that are moved in front of the child
2 · The child holds on to a rattle
10 · Any other observation
5 · The child walks alone from age:_
2 · Overactive
3 · Not Very Active
3 · Fussy, difficult to soothe
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2 · This NOC is issued as per Adoption Regulations, 2017 and Article 17 (c) of the Hague Convention on the Protection of Children and Cooperation in respect of inter-country Adoption; 1993. 3_ The Specialised Adoption Agency and the Foreign Adoption Agency/Central Authority/concerned Foreign Government department/Indian Diplomatic Mission have been authorized to process this adoption case. The Specialised Adoption Agency shall file the adoption application in the competent court: Signature and Seal of Authorized Signatory To: Name and address of the Specialised Adoption Agency: (2) Name and address of the State Adoption Resource Agency concerned State Government department_ (3) Name and address of Authorized Foreign Adoption Agency (AFAA)concerned Foreign Government department/Indian Diplomatic Mission: Diplomatic Mission of the Receiving Country in India. Central Authority of the Receiving Country: Foreigners' Regional Registration Officer (FRRO)
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10 · Funds /Grants received during last financial year: Fees for conducting Home Adoption fee Study and Post-adoption follow-up
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