Annexure-1
 

FORMAT OF MASTER ADMISSION REGISTER

Name & Address of the institution

 

1

2

3

4

5

6

7

8

9

10

S.No.

 Regd. No. & Date Name of the Child

Sex

 Date of Birth Child Status (Relinquished/Abandoned) Date of Relinquishment/ abandonment Reasons for surrender Date of Admission/Date of acquiring the child Health Status of the Child, Specify Whether the child is in Foster Care

 

11

12

13

14

15

Remarks

photograph of the child

Name & Address of Adoptive/Foster Care Parents Date of Foster Care Agreement Whether the adoption of the child is finalised Court Order No. & Date Post Placement Report.

*

*The date of Restoration & details of death of a child should also be stated in the remarks.

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