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O. Date issued Full name(s) of the child(ren) Child(ren s) number(s) 1. Your relationship to the child(ren) State whether you are a guardian you are a person in whose favour a residence order is in force (Section 14A (5)(b)) you are a person with whom the child has lived for 3 out of the last 5 years you are a person who: if a residence order is in force, has the consent of every person in whose favour the order was made if the child is in the care of the local autho.

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