KNOW ALL MEN BY THESE PRESENTS that I……………………. S/o. ……………..resident of hereby declare as follows:

WHEREAS I have no living son, son’s son or son’s son’s son and I have no expectation of having any issue due to my old age;

AND WHEREAS I am desirous to adopt a suitable boy as my son;

AND WHEREAS Shri……………………. S/o …………………….resident of ……………….has a son named aged about 2 years, who is suitable for me for adoption and the said……………………. has agreed to give his son named……………………. in adoption to me;

AND WHEREAS Shri……………………. has also taken the consent of his wife for giving his son Shri……………………. in adoption to me;

And whereas Shri……………………. has given his son Shri……………………. in adoption to me and I have taken him in adoption on ………………at……………………. ;

AND WHEREAS my wife has completely and finally renounced the world, her consent is neither available nor required under law;

NOW THIS DEED WITNESSES THAT I have adopted Shri………………..as my son from the date of adoption, and he shall be deemed to be my son for all purposes from the date of adoption

IN WITNESS WHEREOF, etc . ………………..