Surname

Given name

Sex

Date of Birth

No. of people in a room

M    F

M    F

M    F

M    F

Case No.

Child’s Name

Adoptive Parents’ Names

Address and Contact No.

Service

File review, research for birth background information

Foster mother meeting

Visit to birth places, hospitals, orphanages, etc. with a social worker                                

Successful birth contact

Full services for adoptive families such as birth family meeting, visiting birth places, hospitals, orphanages, etc. with a social worker.                                                                            

If you need the Post Adoption Service from Eastern Social Welfare Society, please complete this part of the form. There is no service fee but donation to Eastern Social Welfare Society is appreciated.