Supreme Court Rules 1937—Form 3.10
(see o 76 r 14)
Application for variation of adoption order

In the Supreme Court of the Australian Capital Territory

No		of (year)

Adoption Act 1993

In the adoption of (full name of adopted child)

Application is hereby made to the Court [*by/*on behalf of] [full name, address and occupation of person in whose favour the variation order is sought] for the Court to [*vary/*revoke] a condition of the order for the adoption of [full name of adopted child] dated [date].

This application is made—
*personally by [full name] in [*his/*her] capacity as [*adopted child/*adoptive parent/*birth parent].
*by [full name], on behalf of [full name of adopted child].
*by [name(s)], solicitor(s), on behalf of [full name] in [*his/*her] capacity as [*adopted child/*adoptive parent/*birth parent].
Date:
Signature:
Address for service:
*Strike out where inapplicable.

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