Indiana Code Title 31. Family Law and Juvenile Law § 31-19-5-7

(A) name;

(B) address at which the putative father may be served with notice of an adoption under IC 31-19-2.5-6;

(C) Social Security number;  and

(D) date of birth.

(A) name, including all other names known to the putative father that the mother uses, if known;

(B) address, if known;

(C) Social Security number, if known;  and

(D) date of birth, if known.

(A) name, if known;  and

(B) place of birth, if known.

(A) name of an attorney or agency that requests the state department to search the registry under section 15 of this chapter to determine whether a putative father is registered in relation to a mother whose child is or may be the subject of an adoption;  and

(B) date that the attorney or agency submits a request as provided under this subdivision.