Part 3 particulars to be entered where the record of the birth was created in the adopted children register on or after 1st December 1969 and on or before 30th September 1989

No. of entry

Date and country of birth of child and in the case of an infant born in Northern Ireland, the district of the Superintendent Registrar and/or the Registrar of Births and Deaths in which the birth took place or the district of the Superintendent Registrar and/or the Registrar of Births and Deaths where the court, that made the adoption order, sits.

Name and surname of child

Sex of child

Name and surname, address and occupation of adopter or adopters

Date of adoption order and description of court by which made

Date of entry

Signature of officer deputed by Registrar General to attest the entry.