Date of report |
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Child's name |
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Child's first name at birth (if different from current first name) |
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Date of birth |
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Current age |
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Date of arrival in Australia |
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Names of family: Mum Dad Brother(s) Sister(s) |
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Contact details: Address Phone |
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The Australian Authority involved in the adoption |
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Date you picked up your child from Ethiopia |
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About your family life and daily routine (e.g. diet and eating routine, sleeping habits, and typical day at home)
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About your child’s health (i.e. when she/he last saw a doctor, list any major illness and if she/he has been in hospital, your child's height and weight)
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Things you have done to help preserve and celebrate your child's cultural heritage
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About your child's Education (i.e. what class your child is at school, and how your child is progressing at school)
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About your child's emotional development (e.g. about attachment to members of family, about your child's social skills)
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About your child's personality (e.g. what she/he likes/dislikes, what hobbies and activities he/she is involved in)
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General development (motor and language skills, new accomplishments and achievements, e.g. learning to sit up, or ride a bike etc)
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Anything else you would like to tell your child's birth-country?
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Mum’s signature & date |
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Dad’s signature & date |
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Attach at least 2 photos of your child (original photos, not photocopies)
Attach photos of your family (original photos, not photocopies)
addresses for each State Department can be found on the AACASA website under "contacts"
AACASA Secretary
PO Box 1319
Milton Qld 4064
The Secretary
Adoption Committee
Children, Youth and Family Affairs Department
Ministry of Labour and Social Affairs
PO Box 2056
Addis Ababa
Ethiopia