上海市收养登记愿表.doc

文档介绍：上海市收养登记意愿表(收养上海市福利院弃婴﹑孤儿专用)(注:﹡为必填项目)﹡收养意愿人姓名男:女:﹡出生日期年月日年月日﹡身份证件号码文化程度﹡健康状况工作单位职业﹡经济状况年收入:年/人年收入:年/人原有子女情况常住户口所在地常住户口所在地﹡联系电话宅电:手机:男:女:申请收养原因及要求(请明确注明希望收养儿童的性别﹑年龄和身体状况)IntentionandRegistrationFormofAdoptioninShanghai(Exclusivefortheadoptionofabandonedinfantsororphansinchildren’swelfareinstitutesofShanghai)(Note:Theitemsmarkedwith﹡aremandatory)﹡NameofintentionadopterMale:Female:﹡DateofbirthMM/DD/YYYYMM/DD/YYYY﹡IDnumberEducationallevel﹡HealthWorkunitProfession﹡e:year/e:year/personOriginalsonsordaughtersPermanentresidencePermanentresidence﹡TelHometelephone:Mobilephone:Male:Female:Reasonsandrequirementsoftheadoptionapplication(Pleasespecifythegender,ageandhealthofthechildrenthatyouwishtoadopt.)