Annexure-1
FORMAT OF MASTER ADMISSION REGISTER Name & Address of the institution
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2
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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
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12
13
14
15
Remarks
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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