KNOW ALL MEN BY THESE PRESENTS, that I, X son of Y resident of………………….hereby declare that I being guardian appointed by the District Court……………………. of Z have given my ward……………………… in adoption to……………………. after obtaining……………………court’s permission dated……………………. I further declare that ceremony of giving and taking of Z and other religious ceremonies have been duly performed on at…………………..Shri Z shall be the adopted son of from the said date of adoption.

IN WITNESS WHEREOF, etc . …………………….