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Member Name:

Clivescott123456789

Member Message:

All I know about my mother is that her name is Jeanette. She gave birth to me in Carletonville at the local hospital.

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For the purpose of this search, which best describes you?

Indicate the gender of the adopted person.

Indicate the birth year of the adopted person.

Indicate the birth month of the adopted person.

Indicate the birth date of the adopted person.

In which country did the adoption take place?

In which state or province did the adoption take place?

When did the adoption take place?

Since the time of adoption, have you been in contact?