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Hi First_Name ,

Thank you for registering with Adoption Reunions South Africa. 
Below, are the details you have given us on the form. Kindly check the information you have provided.
If any of the information is incorrect, click the "back" button on your browser to return to the form, change the information, then resubmit your details. If your details are correct, then you do not need to resubmit your application.

We thank you for taking the time to complete the form.

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Adoptees' Date of Birth:Date_of_birth

First Name :
Surname:             Surname
Postal Address:  Postal_Address
City:                     City
Country: Country
Postal Code: Postal_Code
Phone:            Appl_Phone
Cell Phone:   Appl_Cell
Fax. Number:  Appl_Fax
E-Mail Address:  Email
Searching For: Searching_For
Applicant Is:      Who_is_Applicant


First Name After Adoption: Name_After_Adoption
Surname After Adoption: Surname_After_Adoption
First Name Before Adoption: Name_Before_Adoption
Surname Before Adoption: Surname_Before_Adoption
Gender:             Gender
Adoptee's ID Number: ID_Number
Date of Birth:   
Place of Birth:  Place_of_birth
Hospital: Hospital_of_Birth
Date of Adoption: Date_of_Adoption
Agency: Adoption_Agency
Phone No: Adoptee_Phone
Other info about adoptee: Other_Details_Adoptee


Birth Mother's First Names:
Birth Mother's Present Surname: BM_Present_Name
Birth Mother's Maiden Name: BM_Maiden_Name
Birth Mother's ID: BM_ID
Birth Mother's City: BM_City
Birth Mother's Present Phone: BM_Phone
Other info about Birth Mother: BM_Details


Birth Father's First Names: BF_First_Name
Birth Father's Surname: BF_Surname
Birth Father's ID:  BF_ID
Birth Father's City: BF_City
Birth Father's Phone: BF_Phone
Other info about Birth Father  BF_Details
Your EntryEntry
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Revised: June 25, 2011 .

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