CERTIFICATE BY THE SUPERINTENDENT OF ORPHANAGE

I hereby certify that Shri X, son of Y, resident of ....................... visited this...................Orphanage on......................... and desired to adopt a male child from the orphanage, as his son.
 
After looking at many children in the orphanage, Shri X selected A, the names of whose parents are not known. The marks of identification on the body of the boy are as under
 
At the request of Shri X, I enquired from Shri A about his willingness to be adopted by Shri X who has expressed his willingness to be adopted by Shn X I applied to the................. court for................
permission of the said adoption and the......................... court vide its order dated.........................  permitted the adoption and appointed me as the guardian of A for the purposes of giving the said A in adoption . 
I confirm that I have given Shri A in adoption and Shri X has taken him in adoption on......................... alongwith the Datta Homam and other religious ceremonies in the presence of relatives and friends of Shri X
 
I am satisfied myself that the adoption will be in the interest and for the welfare of the A . 
I also hereby certify that to my knowledge there is no other person who has ever claimed to be the guardian or relative of the said Shri A.
 
Place:.................						Date:…………… 						Superintendent Orphanage