Sample CPR - the Leicester City, Leicestershire and Rutland ...

Form CPR
Part D – Siblings (full and half)
Part D – Siblings (full and half) 25
Sibling 4
Surname Green
First names George
Date of birth 01.05.06
Place of birth Leicester
Sex Male
Ethnicity White/British
Nationality British
A recent good quality photograph should be attached if appropriate
Date of photograph:
(This should be written on the back of the photograph.)
Briefly describe the child’s physical characteristics
George is of White/British descent. He has a fair complexion, light brown hair
and large brown eyes.
Birth mother’s full name (surname first)
Tina Green
Birth father’s full name (surname first)
Simon Green
Current carer’s name (where appropriate)
Child is adopted.
Current carer’s address (where appropriate)
Confidential
Relationship/status of current carer to child
Adoptive parents
Is this sibling currently “looked after”?
No
Name and address of the local authority that has responsibility for this
sibling
Not applicable
Is this child provided with accommodation under section 59(1) of the
Children Act 1989 (accommodated by a voluntary agency)?
No
Legal status of sibling
Adopted
Is there a court order in force?
Yes
Page 45
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