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The document is a Statutory Declaration for an application to extend the Declaration of Eligibility and Suitability under the Adoption Act 2010. It confirms the applicant's unchanged marital status, residency in Ireland, and lack of significant changes in circumstances since the original declaration. The applicant also states whether they have taken charge of a child for adoption purposes. The declaration is made for the benefit of the Adoption Authority of Ireland.

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2019	4.8 Satisfied (137 Votes)

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