Affidavit Of Adoption Of Applicant Page 2
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3Form 34D:
Affidavit of Adoption of Applicant(s)
(page 2)
Court File Number
4.
The child is a resident of Ontario and is:
my/our grandchild by blood, marriage or adoption.
my/our grandnephew/grandniece by blood, marriage or adoption.
my/our nephew/niece by blood, marriage or adoption.
a child of my spouse.
a member of my/our band or native community.
not related to me/us.
5.
The history of my/our relationship with the child is as follows:
(Give details of history of your relationship with the child. If you need
more space, you may add a page.)
Put a line through any blank space left on this page
FLR-34D-E (2009/04)
Page 2 of 3
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