DECLARATION OF WILLIGNESS

IN THE COURT OF THE DISTRICTE JUDGE: ____________ (Ciudad de la Corte)

(GUARDIANSHIP JURISDICTION)

GUARDIANSHIP CASE Nº_________ OF _________

In re: Miss/Master _________________ (nombre del menor) (minor)

AND IN THE MATTER OF:

Mr.___________________ (Nombre del padre adoptante) & Anr        ... Petitioners

Versus

______________________(nombre del orfanato) & Anr.                    ... Respondents

DECLARATION OF WILLIGNESS:

We, Mr.__________________ (nombre del padre adoptante) aged ______ (edad del padre adoptante), S/O Mr.__________________ (nombre del padre del padre adoptante) and Mrs. _____________________ (nombre de la madre adoptante) W/O Mr. _____________________ (nombre del padre adoptante), both residents of _______________________________ (dirección de la pareja adoptante), do hereby declare our willigness on this the _________ (día de la firma) day of ____________ (mes de la firma), ___________ (año de la firma), to be appointed as the guardians of the minor named ___________ (nombre del menor).

We further declare that we will adopt the minor, Miss/Master_______________ (nombre del menor) as per the local laws of our country after being appointed as the guardians/joint guardians of the said child. We shall complete the adoption proceedings in our country as expeditiously as our laws permit and inform this