Form 10—Declaration of non‑recognitionForm 10—Declaration of non‑recognition

## Form 10—Declaration of non‑recognition (subregulation 22(2E)) (insert heading for document in accordance with Form 1) Declaration that adoption or decision is not recognised ON THE BASIS that this court is satisfied that it may, in accordance with regulation 22 of the Family Law (Hague Convention on Intercountry Adoption) Regulations 1998, make the following orders in these proceedings: THE COURT DECLARES, in accordance with that regulation, on application by (insert forename(s) and surname(s) of applicant(s)), (insert occupation of applicant(s)), of (insert address of applicant(s)), that the adoption of\*/the decision made in accordance with Article 27 of the Convention on Protection of Children and Cooperation in respect of Intercountry Adoption in relation to\* (insert forename(s) and surname(s) of child) is not recognised. THE COURT approves the following forename(s) as the forename(s) of the child: (insert forename(s) approved by the court) THE COURT approves the following surname(s) as the surname(s) of the child: (insert surname(s) approved by the court) DATED: (insert date of declaration) (Seal of court) \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ \* omit if inapplicable