Act of Sederunt (Child Care and Maintenance Rules) 1997

[8.  (State full name and address of the father of the child), who is not the male petitioner, is the father of the child by virtue of section 28 of the Human Fertilisation and Embryology Act 1990 [or otherwise] and has freely and with full understanding of what is involved, agreed unconditionally to the making of the order sought.]S