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Step 1

Please complete the information below to register as an adopted person searching for a Birth Parent / Birth Sibling / Birth Relative

Your Information
Forenames *
Surname *
Address 1 *
Address 2
Town/City *
County *
PostCode *
Country *
Email *
Telephone number
Place of Birth* (please enter town and county)
Date of birth * //
Original Birth Certificate
*Do you have your original Birth Certificate
Adoption Information
*Birth Name (if known/ taken from original birth certificate)
*Age when relinquished for adoption
*Adopted when // Check if unknown
*Adopted where (please enter town and county)
*Name of Adoption Society / Local Authority involved
*Name/Address of Court where adoption took place (if known)
Do you have a Social Worker or other Agency acting for you at the present time. (please enter name and address)
Searching For  
Searching for*
*Birth Mother / Fathers Name (as given on original birth certificate)
*Birth Mother / Fathers Addresss (as given on original birth certificate)
*Birth Mother / Fathers Occupation (as given on orginal birth certificate)
Sibling / Birth Relative Information (Please give details - dob or ages, sex etc;)
*Have you applied to the Adoption Agency / Local Authority for access to your Birth Records
*Are you registered on the National Contact Register
*Are you registered with NORCAP
Other Information
Do you give us permission to give your information to the other party if we find an exact match?
 
** PRESS REGISTER AFTER PRINTING IF YOU ARE FAXING OR MAILING THIS FORM! **
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