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1. Identification of Parties: Detailed information about the biological parent(s) or legal guardian(s) giving consent, including full legal names, dates of birth, national registration numbers, and current addresses
2. Child Information: Complete details of the child to be adopted, including full name, date and place of birth, current residence, and birth registration information
3. Declaration of Consent: Clear and unambiguous statement of consent to the adoption, specifically stating whether it is for full or simple adoption under Belgian law
4. Legal Effects: Detailed explanation of the legal consequences of adoption, including termination of parental rights and responsibilities
5. Acknowledgment of Understanding: Confirmation that the consenting party understands the permanent nature and legal implications of their consent
6. Reflection Period: Statement acknowledging the legal reflection period and the right to revoke consent within the statutory timeframe
7. Witness Statement: Space for witness details and signatures, as required by Belgian law
8. Execution: Date, place, and signature sections for all parties and official authorities
1. International Adoption Provisions: Additional provisions required for international adoptions, including compliance with The Hague Convention requirements
2. Cultural Heritage Preservation: Optional provisions regarding maintaining connection with the child's cultural heritage, particularly relevant in international adoptions
3. Medical History Release: Authorization to release relevant medical history of the biological parent(s) and child
4. Contact Agreement: Optional provisions for future contact between biological family and adopted child, if agreed upon by all parties
5. Interpreter Certification: Required when the consenting party needs language interpretation, including interpreter's details and certification
1. Schedule A - Identity Documents: Copies of official identification documents of all parties involved
2. Schedule B - Birth Certificate: Certified copy of the child's birth certificate
3. Schedule C - Legal Capacity Certificate: Documentation proving the legal capacity of the consenting party to give adoption consent
4. Schedule D - Social Worker Report: Report from the authorized social worker or adoption agency, if applicable
5. Schedule E - Medical Records: Relevant medical information about the child, if being provided
Legal Services
Social Services
Healthcare
Public Administration
Child Protection Services
Family Services
Non-Profit Organizations
International Relations (for international adoptions)
Education
Legal Affairs
Social Services
International Relations
Child Protection
Document Processing
Family Services
Translation Services
Court Administration
Compliance
Client Relations
Family Law Attorney
Social Worker
Child Protection Officer
Adoption Agency Director
Legal Administrator
Court Clerk
Family Services Coordinator
International Adoption Specialist
Child Welfare Case Manager
Legal Translator
Public Notary
Family Court Judge
Healthcare Administrator
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