| SL.NO. |
Particulars |
Response in the instant case |
| 1 |
Biological family name |
|
| 2 |
Sex |
|
| 3 |
Date of Birth |
|
| 4 |
Place of Birth |
|
| 5 |
Colour of eyes |
|
| 6 |
Colour of hair |
|
| 7 |
Complexion |
|
| 8 |
Weight |
|
| 9 |
Height |
|
| 10 |
The present custodian of the childand his/her present address |
|
| 11 |
Overall Physical/Mental development |
|
| 12 |
Language development |
|
| 13 |
Medical/health history (recent medical report to be verified) |
|
| 14 |
Disability/special needs (if any) |
|
| 15 |
Views of the child if he/she is able to express any feeling/opinion regarding his/her adoption. |
|
| 16 |
Whether court order and relevant documents supporting adoption are available. (If yes, please certify and enclosed a copy of each document.) |
|
| 17 |
Certified that the facts stated at ‘B’, ‘C’ & ‘D’ are correct. |
|
| 18 |
Name & signature of the person, his/her designation and his agency/organization who has completed this report. |
|
| 19 |
Date of this Child Study Report |
|
