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Online Child Adoption Application

Fields marked with asterisk (*) are required to fill in.
Applicant Details
* District:
* Applicant Name:
Please enter name as per I.C. (MyKad)
* Applicant I.C. No.:  (New)     Please enter New I.C No. in this format: XXXXXXXXXXXX . '-' is not required
 (Old)
* Contact No.:
* Email:
Child Details
* Child Name (Original):
Please enter name as per I.C. (MyKad or MyKid)
* Birth Cert. No.:
* Child I.C. No.:  (New)     Please enter New I.C No. in this format: XXXXXXXXXXXX . '-' is not required
 (Old)
* Gender:
* Date of Birth Calendar for date entry assistance (DD-MM-YYYY)
* Place of Birth
* Child Name (Adopting):
* Reason of Adopting Child:
Adopting Parent(s) Details
* Marital Status:
Adopting Father Details
* Adopting Father Status:
* Adopting Father Name:
Please enter name as per I.C. (MyKad)
* I.C. No./
Passport No.:
 (New)     Please enter New I.C No. in this format: XXXXXXXXXXXX . '-' is not required
 (Old)
 (Passport)
* Date of Birth: Calendar for date entry assistance (DD-MM-YYYY)
* Place of Birth:
* Race:
Other Race: 
* Nationality:
* Religion:
* Address:
* Phone No.:
* Residency Duration in
Sarawak (years):
* Occupation
Adopting Mother Details
* Adopting Mother Status:
* Adopting Mother Name:
Please enter name as per I.C. (MyKad)
* I.C. No./
Passport No.:
 (New)     Please enter New I.C No. in this format: XXXXXXXXXXXX . '-' is not required
 (Old)
 (Passport)
* Date of Birth: Calendar for date entry assistance (DD-MM-YYYY)
* Place of Birth:
* Race:
Other Race: 
* Nationality:
* Religion:
* Address:
* Phone No.:
* Residency Duration in
Sarawak (years):
* Occupation:
Natural Father/Guardian Details
* Natural Father/Guardian Status:
* Parent Type:
* Natural Father/Guardian Name:
Please enter name as per I.C. (MyKad)
* I.C. No./
Passport No.:
 (New)     Please enter New I.C No. in this format: XXXXXXXXXXXX . '-' is not required
 (Old)
 (Passport)
* Date of Birth: Calendar for date entry assistance (DD-MM-YYYY)
* Place of Birth:
* Race:
Other Race: 
* Nationality:
* Religion:
* Address:
* Phone No.:
* Occupation:
Natural Mother Details
* Natural Mother Status:
* Natural Mother Name:
Please enter name as per I.C. (MyKad)
* I.C. No./
Passport No.:
 (New)     Please enter New I.C No. in this format: XXXXXXXXXXXX . '-' is not required
 (Old)
 (Passport)
* Date of Birth: Calendar for date entry assistance (DD-MM-YYYY)
* Place of Birth:
* Race:
Other Race: 
* Nationality:
* Religion:
* Address:
* Phone No.:
* Occupation:
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