Nepal Children Welfare Service Center
Satdobato, Lalitpur, Nepal

APPLICATION FOR ADOPTION

Please fill the form bellow, print and send us through our mailing address.

Photographs of Adopting Parents:-

  
Father
Mother
  Name of Father  
  Address
(Permananent)
(Present)
  Phone Number  
  E – Mail  
  Fax Number  
  Date of Birth  
  Nationality  
  Occupation  
  Education Background  
  Passport Number  
  Religion  
  Hobby  
  Family Description  
       
  Name of Mother  
  Address
(Permananent)
(Present)
  Phone Number  
  E – Mail  
  Fax Number  
  Date of Birth  
  Nationality  
  Occupation  
  Education Background  
  Passport Number  
  Religion  
  Hobby  
  Family Description  
       
  Date of Marriage  
  Previous Marital Status if any  
  Number of children (if any)  
  Age and sex of the children  
  Detail of Property  
  Own house  
  If yes, Number of Houses  
  Annual income of the father (in dollars)  
  Annual income of the mother (in dollars)  
  Current Bank Balance
Current
Savings
  Medical Report    
  Infertility Report Details
(Father)
(Mother)
  Reason of Adoption from Nepal  
  I prefer to adopt a boy girl  
  Preferable age of child  
  Previous history about adoption if any  
  Signed

 

_______________________

(Prospective Adoptive Mother)

 

_____________________

(Prospective Adoptive Father)
       

Signed and Sworn before me in the city of _______________________ in the county of

__________________ in the State of ______________ on this _____ of _______ 2005.

 

Notary Public:- _____________________________________

My commission Expire:- _____________________________

Mailing Address:

N.C.W.S.C
G.P.O. BOX # 8975
E.P.C # 1532
KATHMANDU, NEPAL