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31

E.— 4

[Page 2.] Education Department.—The Infants Act, 1908, section 45. Record-book. (Note. —The respective entries must be made immediately after the occurrence of the incidents to be recorded.) [To be filled in by the foster-parent.] Record of Infant received into the Foster-home at , in Charge of Particular* nf Infant , a Entry. Date of entry into home : Age, and date of birth : Name of infant (in full) and sex : Remarks : [To be filled in by a person authorized by the Education Department. Date of first visit to child : Physical condition of child on first visit: [Signature and designation.] I'nits to Home. (By persona authorized by the Education Department or by medical attendant.) Date of Visit. Remarks. Signature and Designation of Visitor. [Printed or. page opposite to foregoing particulars.] Particulars of Infant's Removal. (Note. —It is against the law for any person to re ye any child (whether under or over the age of six years) from a foster-home, or for the foster-parent to permit such removal, except with the written consent of the Secretary for Education or other officer authorized by the Minister of Education to give such consent. Application for consent must l>e made to the District Agent.) (The warrant of consent for removal of the child should be kept carefully by the foster-parent.) [To be filled in by person removing child.} Date of removal : Name of person by whom infant was removed : Relationship of infant to person by whom it was removed: Health and condition of child at time of its removal: Signature of person removing child : Occupation : Address : Particulars of Infant's Death, if Death occurs. (The doctor who attended the child should be requested by the foster-parent to make these entries; if he does not do so it is the duty of the foster-parent to make them.) Date of death : Cause of death : Remarks : [Signature.] Visits to Home —continued. Date of Visit. Remarks. Signature and Designation of Visitor. [The two following pages provide space for recording further visits to the home.] [Extracts from the Infants Act and Regulations are printed at the end of the book.]

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