ADOPTION ANGELS NETWORK IS POWERED BY
Plan Angel Postbus 10527 1001 EM Amsterdam KvK: 34376488
www.planangel.org - info@planangel.org - Tel: 020-8932980

* FIELDS MARKED WITH A STAR ARE MANDATORY

Present name:* Male or female:* M F
Address:
Zip code: City:*
Country:* Telephone:
Email:* Mobile:*
This registration is my: First entry Update
I am the: Adoptee/child Birth parent Sibling
Birth date (month/day/year):
Hospital:
Birth city: City:
Birth name:
Adoption name:
Adoptive parents name:
This adoption was: Private By an agency
Social worker/laywer:
Name of placement agency:
City: Country:
Adoptive parents name:
Information about the birth parents:
Mother
Name:
Birth date:
Birth place:
Age of birth:
Children:
Father
Name:
Birth date:
Birth place:
Age of birth:
Children:
Remarks:

I hereby give my permission to Adoption Angels Network Registry to release this vital information to the person(s) for whom this search is conducted. I understand this permission is necessary to activate registration, facilitate contact and for verification of identity, and my relationship to that person or persons.
© 2010 Adoption Angels Network Registry