同意未成年出国声明 - 中英

StatementofConsentingMinortoGoAbroad(同意未成年人出国声明)Father’sname.........................................(父亲姓名)Dateofbirth.............................................（出生日期）Placeofbirth..........................................(出生地)NationalIDNo......................................(身份证号)Nameofminor........................................(未成年人的姓名)Dateofbirth...........................................(出生日期)Placeofbirth..........................................(出生地)Minor’spassportNo................................(未成年人的护照号)Mother’sname..........................................(母亲姓名)Dateofbirth..............................................（出生日期）Placeofbirth.............................................(出生地)NationalIDNo.......................................(身份证号)Nameofminor..........................................(未成年人的姓名)Dateofbirth..............................................(出生日期)Placeofbirth.............................................(出生地)Minor’spassportNo................................(未成年人的护照号)Iagreewiththeabovestatement:Minortotravelabroad(本人声明同意上述未成年人出国旅游)From...............................................to...................................................(出国日期自。。。。。。。。至。。。。。。。。。)Theminorgotoabroadwith...........................Father/Mother/Guardian/Teacher(上述未成年人将由父亲/母亲/监护人/老师（姓名）。。。。。。。。陪同出国)DateofBirth......................Placeofbirth............................PassportNo..........................(出生日期)(出生地)(所持护照号)Theminorgotoabroadwith...........................Father/Mother/Guardian/Teacher(上述未成年人将由父亲/母亲/监护人/老师(姓名)。。。。。。。。。。陪同出国)DateofBirth......................Placeofbirth............................PassportNo..........................(出生日期)(出生地)(所持护照号)Farther’ssignatureinpinyinandChineseMother’ssignatureinpinyinandChinese(父亲的拼音和中文签字) (母亲的拼音和中文签字)..................................................................................Date: