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Who are you seeking/relationship to you?:

Last known name (in full, no nicknames/shortened names):

Last known address/area/year:

What information do you have about the person(s) you are seeking?:

Please give any information that is not covered above:

Any known family names:

Age/dob of person(s):

If you are an Adoptee or are seeking an Adoptee:

Original name/dob:

(Always state the name of the birthmum - if the adoptee is looking her name will be the first thing they look for.)

Have you been in touch with Social Services/Norcap/GRO?:

Information about adoption area/date/number/court details etc: