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Family Law (Hague Convention on Intercountry Adoption) Regulations 1998
Form 5—Response to applicationForm 5—Response to application
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## Form 5—Response to application
(paragraphs 14(2D)(a), 15(2C)(a), 20(2D)(a) and 22(2C)(a))
(insert heading for document in accordance with Form 1)
Response to application for order under regulation 14\*/15\*/20\*/22\*
IN RESPONSE TO the application made by (insert forename(s) and surname(s) of applicant(s)) filed in the (insert name of court) on (insert date of filing of application), a copy\*/notice\* of which was given to me\*/us\* on (insert date on which copy, or notice, of the application was given to respondent(s)), I\*/WE\*, (insert forename(s) and surname(s) of respondent(s)) state as follows:
(insert brief statement of the matters in support of the court making an order other than the order sought in the application)
DATED..................................
................................................
(signature(s) of respondent(s))
..........................................................................
(name of respondent(s))
......................................................................................................................
(title or position of respondent(s))