Supreme Court Rules 1937—Form 3.9
(see o 76 r 13)
Order for dispensing with consent to adoption

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)
Judge:
Date of order:
Originating process:
Attendance:
Affidavits read:
Other matters:
The Court orders that:
1	The requirement for [full name] to consent to the adoption of [full name in which the birth of the child to be adopted is registered] be dispensed with for the purposes of an application by or on behalf of [full name of each proposed adoptive parent] for the adoption of that child. 
2	[Any further orders].

Date entered:
Signature of Registrar:

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