[Form No.7]

Dissolution of adoption report for parental adopted child ( Day Month Year)	※ Please write after reading the guidelines on the back and, when required to select one option, please circle the number as follows "○".
Section	Adoptive father	Adoptive mother
① Adoptive parents	Name	Korean or English		Place of family origin(Chinese characters)		Korean or English		Place of family origin(Chinese characters)
Chinese characters		Date of birth		Chinese characters		Date of birth
Resident Registration No.	-	Resident Registration No.	-
Permanent domicile address
Address
② Parental adopted child	Name	Korean or English		Place of family origin(Chinese characters)		Resident Registration No.
Chinese characters		Date of birth		-
Permanent domicile address
Address
Previous surname	Korean or English		Chinese characters		Previous family origin	Korean or English		Chinese characters
Retaken surname	Korean or English		Chinese characters		Retaken family origin	Korean or English		Chinese characters
③Retaken parents (Adoptive parents)	Father (Adoptive father)	Name		Permanent domicile address
Resident Registration No.	-
Permanent domicile address
Mother (Adoptive mother)	Name
Resident Registration No.	-
④Other
⑤Judgment confirmed date	Day Month Year	Name of court
⑥Declarer	Name	Seal or signature	Resident Registration No.	-
Relationship	ꊱPropounder of trial ꊲOpponent of trial ꊳOther(Please state: )
Address
Tel. No.		E-mail address
⑦Submitter	Name		Resident Registration No.	-

Written method
No. ① and No. ② : If you wrote the resident registration No. on section of resident registration No. in accordance with Article 25 section 2, can omit to write the date of birth. No. ③ : In case of direct adoption of parental adopted child and adoptive parents of previous general adoption adopt as parental adopted child so if adoptive parents are same, real biological parents relation is revived at dissolution of adoption. :If adoptive parents of previous general adoption and adoptive parents of parental adopted child adoption are different, adoptive parents relation of previous general adoption is revived. No. ④ : Please write specially necessary matters for clearing the register of family relation. No. ⑥ : If the dissolution of adoption trial for parental adopted child was confirmed, propounder or opponent of trial can report alone. In this case, mark as “○” on relevant number and then seal and signature(or sign). No. ⑦ : Please write name and resident registration No. of submitter(Regardless of declarer) [접수담당공무원은 신분증과 대조]
Attached documents
※ If the data of below No.1 is checked by computer at office of family relation register, can omit to attach. 1. Each one set of basic certificate of family relation register of dissolution of adoption for parental adopted child and adoption relation certificate of parental foster child. 2. If the dissolution of adoption trial for parental adopted child was confirmed in accordance with Article 908 section 5「Civil Law」, please attach each one set copy of trial and certificate of decision. 3. Identification[In accordance with Article 23 of the established rule of family relation register] - In case of attendance of declarer : Certificate of status - In case of attendance of submitter : Certificate of identification for submitter - In case of postal submission : Copy of identification for declarer

Dissolution of adoption report for parental adopted child

(친양자파양신고서)

① Adoptive parents (adoptive father / adoptive mother) 양친 (양부/양모)

※ Writing method (No. 1and 2) ( 작성방법 1번 ~ 2번)

￭ If you wrote the resident register No. on section of resident register No. in

accordance with Article 25 Section 2, can omit to write the date of birth.

(법 제25조제2항에 따라 주민등록번호란에 주민등록번호를 기재한 때에는 출생

연월일의 기재를 생략할 수 있습니다.)

￭ Please write the adoptive parents(adoptive father/adoptive mother)'s name in

Korean or English and in Chinese characters.

(양친(양부/양모)의 성명을 한글과 한자로 쓰세요.)

￭ Please write the adoptive parents(adoptive father/adoptive mother)'s place

of family origin in Chinese characters. (양친(양부/양모)의 본을 한자로 쓰세요.)

￭ Please write the adoptive parents(adoptive father/adoptive mother)'s date of

birth(day/month/year). (양친(양부/양모)의 출생연월일을 쓰세요.)

￭ Please write the adoptive parents(adoptive father/adoptive mother)'s resident

registration No. (양친(양부/양모)의 주민등록번호를 쓰세요.)

￭ Please write the adoptive parents(adoptive father/adoptive mother)'s permanent

domicile address and address.

(양친(양부/양모)의 등록기준지와 주소를 쓰세요.)

② Paternal adopted child (친양자)

￭ Please write the paternal adopted child's name in Korean or English and in Chinese

characters. (친양자의 성명을 한글과 한자로 쓰세요)

￭ Please write the paternal adopted child's place of family origin in Chinese characters.

(친양자의 본을 한자로 쓰세요)

￭ Please check the paternal adopted child's sex.  1)Male   2)Female

(친양자의 성별을 체크하세요 1)남 2)여 )

￭ Please write the paternal adopted child's resident registration No.

(친양자의 주민등록번호를 쓰세요)

￭ Please write the paternal adopted child's date of birth(Day/Month/Year).

(친양자의 출생연월일을 쓰세요)

￭ Please write the paternal adopted child's permanent domicile address and address.

(친양자의 등록기준지와 주소를 쓰세요)

￭ Please write previous surname in Korean or English and in Chinese characters.

(친양자의 종전의 성을 한글과 한자로 쓰세요)

￭ Please write the changed surname in Korean or English and in Chinese characters.

(친양자의 변경된 성을 한글과 한자로 쓰세요)

￭ Please write previous place of family origin in Korean or English and in Chinese

characters. (친양자의 종전의 본을 한글과 한자로 쓰세요)

￭ Please write the changed place of family origin in Korean or English and in Chinese

characters. (친양자의 변경된 본을 한글과 한자로 쓰세요)

③ The retaken parents (Adoptive parents) 부활되는 부모(양부모)

※ Writing method (작성방법)

￭ In case of direct adoption of parental adopted child and adoptive parents of

previous general adoption adopt as parental foster child so if adoptive parents are

same, real biological parents relation is revived at dissolution of adoption.

(직접 친양자입양한 경우와 종전 일반입양한 양부모가 친양자 입양을 하여 양부모가

동일한 경우, 파양시에는 친생부모관계 부활)

￭ If adoptive parents of previous general adoption and adoptive parents of parental

adopted child adoption are different, adoptive parents relation of previous general

adoption is revived.

(종전 일반입양한 양부모와 친양자입양을 한 양부모가 다른 경우, 파양시에는 종전

일반입양한 양부모관계 부활)

￭ Please write name of the retaken parents(adoptive father/adoptive mother).

(부활되는 부모(양부모)의 성명을 쓰세요)

￭ Please write permanent domicile address of the retaken parents (adoptive father

/ adoptive mother). (부활되는 부모(양부모)의 등록기준지를 쓰세요)

￭ Please write resident registration No. of the retaken parents (adoptive father

/ adoptive mother). (부활되는 부모(양부모)의 주민등록번호를 쓰세요)

④ Other (기타)

※ Writing method (작성방법)

￭ Please write specially necessary matters for clearing the register of family relation.

(가족관계등록부에 기록을 분명하게 하는데 특히 필요한 사항을 기재합니다.)

⑤ The confirmed date of judgement (재판확정일자)

￭ Please write the judgement confirmed date(day/month/year) and the court

name. (재판확정일자(년,월,일)와 법원명을 쓰세요)

⑥ Declarer (신고인)

※ Writing method (작성방법)

￭ If the dissolution of adoption trial for parental adopted child was confirmed,

propounder or opponent of trial can report alone. In this case, mark as “○” on

relevant number and then seal and signature(or sign).

(친양자파양의 재판이 확정된 경우에는 소 제기자 또는 소의 상대방 단독으로 신고할

수 있습니다. 이 경우에는 해당 항목번호에 “○”으로 표시한 후 기명 날인(또는 서

명)합니다.)

￭ Please write name and resident registration No.

(신고인의 성명과 주민등록번호를 쓰세요)

￭ Please check on relationship. (신고인의 자격에 체크하세요)

1) Propounder of trial (소 제기자)

2) Opponent of trial (소의 상대방)

3) Other (기타) : Please state(자격) :

￭ Please write address, telephone number and e-mail address.

(신고인의 주소, 전화번호, 이메일을 쓰세요)

⑦ Submitter (제출인)

※ Writing method (작성방법) :

￭  Please write name and resident register No. of submitter(Regardless of declarer)

(제출자(신고인 여부 불문)의 성명 및 주민등록번호 기재)

￭ Please write name and resident registration number.

(제출인의 성명과 주민등록번호를 쓰세요)

□ Attached documents 첨부서류

￭ If the data of below No.1 is checked by computer at office of family relation

register, can omit to attach.

(아래 1항은 가족관계등록관서에서 전산으로 그 내용을 확인할 수 있는 경우 첨부

를 생략합니다.)

1. Each one set of basic certificate of family relation register of dissolution of

adoption for parental foster child and adoption relation certificate of parental

adopted child.

(친양자파양당사자의 가족관계등록부의 기본증명서, 친양자입양관계증명서 각 1통.)

2. If the dissolution of adoption trial for parental adopted child was confirmed in

accordance with Article 908 Section 5 of the 「Civil Law」, please attach each

one set copy of trial and certificate of decision.

(「민법」제908조의5에 따라 친양자파양의 재판이 확정된 경우에는 재판의 등본 및 확정증

명서 각 1통.)

3.  Identification[In accordance with Article 23 of the established rule of family

relation register] (신분확인[가족관계등록예규 제23호에 의함])

￭ In case of attendance of declarer : Certificate of status

(신고인이 출석한 경우 : 신분증명서)

￭ In case of attendance of submitter : Certificate of identification for submitter

(제출인이 출석한 경우 : 제출인의 신분증명서)

￭ In case of postal submission : Copy of identification for declarer

(우편제출의 경우 : 신고인의 신분증명서 사본)