Amendment status not verified — confirm the current text below against the official source.
In cases of NRI/OCI & Foreign PAPs, the following documents will be required: (1) Passport. (2) Proof of residence (Adhaar Card/Voter ID Card/Passport/driving license/current electricity bill/telephone bill) (3) Proof of income of last year (e.g. salary slip/income certificate issued by Government Department /Income tax return) (4) Copy of marriage certificate and photograph (5) Copy of divorce decree/ death certificate of the spouse (if applicable) (6) Copy of birth certificate of the PAPs (7) Certificate from a medical practitioner certifying that the PAPs do not suffer from any chronic, contagious or fatal decease and they are fit to adopt (8) Permission of the receiving country as per Article 5 and 17 of the Hague Adoption Convention (Only applicable in cases of Hague ratified country) (9) Copy of the Passport of PAPs and a copy of OCI certificate, if applicable (10) Police clearance certificate (11) In case of OCI/Foreign PAPs living in India, a copy of No Objection Certificate from their Embassy/ High Commission for adoption and assurance for post adoption in case the PAPs relocate from India (12) In case of single parent, undertaking from a relative to take care of the child in case of mishap (13) Undertaking from the prospective adoptive parents to allow personal visits by the representative of the authorised foreign adoption agency or Central Authority or concerned Government Department, as the case may be, for follow-up of the progress of the child as required under Para 20 (6) of the Guidelines. In case of foreign or overseas prospective adoptive parents living in India, they are also required to give an undertaking to the effect that they would allow personal visits of the representative of the specialized adoption agency or District Child Protection Unit or State Adoption Resource Agency at least for a period of two years from the date of adoption. (The PAPs would be in the Waiting List from the date of submission of complete set of documents) ¹Hkkx IIµ[k.M 3 (ii)º Hkkjr dk jkti=k % vlk/kj.k 99 SCHEDULE-6 [[[[See paragraph 9(5)]]]] FORMAT OF HOME STUDY REPORT (HSR) FOR PROPSECTIVE ADOPTIVE PARENTS (PAPs) IN INDIA (In cases of inter-country adoptions, standard format as provided in the receiving countries may be used) Part-I of the format shall be filled up by the prospective adoptive parents (PAPs) and Part-II of the template shall be filled up by the Professional Social Worker to submit an assessment report along with his/her observation about suitability of the PAPs to adopt. Attention for the PAPs: Part-I of the format can be filled up by the prospective adoptive parents themselves and any difficulty faced to fill-up the template may be clarified with the Social Worker during his/her home visit. During home study, the social worker would like to know your relationships with your spouse/partner and your sources of support; your financial and employment situation, health status, lifestyle, home and neighbourhood environments; your parenting styles and attitude(s); your motivation for adoption; your desire and commitment to adopt and to evaluate you as a prospective parent. The PAPs are solely responsible for the authenticity of the information provided in the template. PAPs are advised to sign below on each page of the format that is filled up by them. PART-I :SELF ASSESSMENT A. Identifying Information about the PAPs and their family background: Particulars of information Male Applicant Female Applicant Full Name Date of birth & age Place of birth Complete Address with e-mail ID (Present & Permanent Address) Country of Origin Country of Citizenship Passport Number Religion Language(s) Date of Marriage Date of Earlier Marriage (if any) Date of divorce (if any) Present Educational Qualification Employment/occupation Name & Address of the present Employer/Business concern Annual Income Health Status CARINGS REGISTRATION No. - DATE OF REGISTRATION - AADHAR CARD NO. - NAME OF THE SOCIAL WORKER - DATE OF HOME VISIT - 100 THE GAZETTE OF INDIA : EXTRAORDINARY [PART II—SEC. 3(ii)] B. Family background information: (1) Give a short description of social status and background of the PAP(s) along with the following information. Details about Parents of the Applicants Male Applicant Female Applicant Father Mother Father Mother Name in full Age Nationality/Citizenship Occupation Previous occupation Presently residing with (2) Please complete the following table with the names of each of your respective children (adopted and biological), their sex, educational status (kindergarten, elementary, etc.) and dates of birth. Name of the Child Sex Date of Birth Educational Status (3) Please describe how you believe the prospective adoption of a child will affect the lives of your existing children. (4) Please indicate whether there are any other family members residing in the familial home: (a) Yes; (b) No (5) if yes, please complete the following table including the age, gender, occupation, and nature of the familial relationship of the other residing family member/s. Name Nature of Relationship Age Gender Occupation ¹Hkkx IIµ[k.M 3 (ii)º Hkkjr dk jkti=k % vlk/kj.k 101 (6) Please describe how you believe the prospective adoption would affect these family members. (7) Please indicate whether there are any other non-related adults/children living in the home: (a) Yes; (b) No (8) Please describe how you think the prospective adoption will affect the non-related adults/children residing in the familial home. C. Professional/Employment Details(Professional career details for last 5 years): Please complete the following table with details relating to your professional career. Male Applicant Organisation Employer Details (Name & Address) Job Title From To Female Applicant Organisation Employer Details (Name & Address) Job Title From To D Financial Position: (Give a short description of your income from all sources, savings, investments, expenditures and liabilities). (1) Please provide your most recent tax invoices, bank statements etc. and the taxable income of your and your partner. (2) Do you have any outstanding debts, mortgages etc. (a) If yes, please provide supporting documentation; (b) No E Description of Home and Neighbourhood: (Describe the accommodation details and neighbourhood relationship). (1) How many rooms do you have in your home and describe the play area available for the child? (2) Please describe the neighbourhood in which you reside, including any aspect that your believe makes it child- friendly. F Current marital relationship and quality of marital relationship (if applicable): (Give details about the marriage, legal separation, if any, reasons for such separation, present marital life and decision making procedures). (1) Please circle the term the best describes your marital status: (a) Married; (b) Single; (c) Live-in; (d) Widowed; (e) Other, please specify ______________________________________ (2) Please describe the procedures you and your partner use to reach a decision. 102 THE GAZETTE OF INDIA : EXTRAORDINARY [PART II—SEC. 3(ii)] G. Attitude and Motivation of PAP(s) for Adoption: (1) Please circle the term which best describes the reason why you wish to adopt, you may circle more than one option, if applicable: (a) Provide a companion to your other children; (b) Infertility: (c) Provide an impoverished child with a happy home; (d) None of the above; (e) Other, please specify ______________________________________ (2) Please circle the statement which describes how you think the adoption will improve the lives of your other children, you may circle more than one, if applicable: (a) They will be less lonely; (b) They will learn to be more accommodating: (c) They will become more empathetic; (d) Not applicable as I have no other children; (e) Other, please specify ______________________________________ H. Attitude of grandparents/extended family members, other relatives and significant others towards the present adoption: (Give a short description about the opinion of other important persons towards adoption who would have impact in the child rearing process when the child arrives in the receiving country.) I. Anticipated Plans of the PAPs for adopted child and rearing in the Family: (1) Please describe how you will manage caring for the adopted child and other life commitments such as work. (2) Who will be responsible for caring for the child when you are at work, or absent from the familial home (domestic help, grandparents, spouse). (3) Please describe your disciplinary approach to parenting. (4) In case the adopted child demonstrates adjustment difficulties, please describe the steps that you plan to take to ease his/her transition into the family? (5) Would you be prepared to utilize additional family counselling if the adopted child continues to have difficulties adjusting? (a) Yes (b) No J. Preparation and Training for Adoption: (Give details about the counselling sessions the PAP(s) have undergone on adoption, child care, handling of needs of children, etc. and their capacity, PAP(s) training and/or experiences in parenting children with their special need, if any) K. Possible Rehabilitation Plan for the child in case of any eventuality with PAP(s): (Give a short description about your plan for the security of the child in case you face any short or long term eventuality. In case you are a single PAP, please give a short description about the close relative who would be giving undertaking for the security of the child) (1) Does your work require you to travel? (2) Who would care for the child in your absence? Please provide a brief description including his/her age, gender, occupation and relationship. (3) In the event of unforeseen misfortune do you have someone who could take legal guardianship of child? If so, details thereof: (4) In case relationship does not work out would you part with custody of this child/ren to someone else, send back to homes, consult a counsellor. ¹Hkkx IIµ[k.M 3 (ii)º Hkkjr dk jkti=k % vlk/kj.k 103 L. Plans for disclosure of facts of adoption of the Child: (1) (2) M. Health Status (Emotional and Physical): (Give details of the state of emotional and physical health status of the applicant(s), if any. If a family member suffers from a particular disease, condition or syndrome, describe how the family copes with it and how this might affect any proposed adoption.) (1) Do you or your spouse suffer from any medical condition ? If so, would you please provide details? (2) Are you or your spouse currently being treated by a psychologist or psychiatrist? (3) Are you currently taking any prescribed medication? (4) Are there currently any child/ren in your house being treated for a medical condition? (5) Does your family have health and hospitalization insurance coverage for all family members? Signature of the Prospective Adoptive Parents and Date PART-II: ASSESSMENT REPORT OF THE SOCIAL WORKER (To be used by the Social Worker to prepare the assessment report) As far as possible, the HSR has to be completed within a period of one month from the date of registration. The social worker should attempt to put the PAPs at ease by opening the conversation with a warm-up question. The social worker should employ non-verbal cues such as inclining the head and nodding to indicate that the PAPs are actively listening. After each question, the social worker may provide the PAPs with sufficient time to respond. Any verbal response by the social worker to an answer by the PAPs should be neutral and non-judgmental. The social worker should attempt to establish eye contact as much as possible between reading the question and jotting down the response of the PAPs to demonstrate empathy. The social worker should try to avoid interrupting the PAPs unless they do not understand a response. (The information/facts filled in the template shall be kept confidential by the agencies /authorities.)