Supreme Court Rules 1937—Form 3.7
(see o 76 r 11)
Notice of application for dispensing order

In the Supreme Court of the Australian Capital Territory

No		of (year)

Adoption Act 1993

In the adoption of (full name to be given to the child)
To:  [full name], of [address]—

An application for the Court to dispense with the requirement for the consent of [full name] for the purposes of an application for the adoption of [full name in which the birth of the child to be adopted is registered] has been set down for [*hearing by the Court/*the sittings of the Court commencing] on [date].
If you intend to oppose the application for the Court to dispense with the requirement for consent, you should enter an appearance and give notice of your appearance to the person(s) signing below within 10 days after service of this notice.
This notice is given—
*personally by the proposed adoptive parent(s).
*on behalf of the proposed adoptive parents by [name(s)], solicitor(s).
*by the chief executive responsible for adoption.
*by [full name], principal officer of [name], a private adoption agency.
Date:
Signature:
Address for service:
*Strike out where inapplicable.
Note	If the name of a birth parent of the child to be adopted is unknown to the proposed adoptive parent(s), care should be taken to ensure that this information is not disclosed to the proposed adoptive parent(s) in filling out this form.  In such a case, if practicable, this form should be filled out and signed by the solicitor(s) for the proposed adoptive parent(s), by the chief executive responsible for adoption or by the principal officer of the relevant adoption agency (as appropriate).

Endnote
1	This form was originally in the Supreme Court Rules 1937. Under the Court Procedures Act 2004 A2004-59, pt 8, the form became a form approved under that Act. 

©  Australian Capital Territory 2005