父母双方不随行同意函.doc

根据中文提示填写相应的英文后，请把本页内全部中文删除，包括本提示信息。
Consent Letter for Children Travelling Abroad
To whom it may concern,
We, 父亲姓名 & 母亲姓名
Telephones: 父亲联系电话 & 母亲联系电话
Address: 家庭住址英文

are the parents, legal guardians with custody rights, access rights or parental authority over the following child:
Information about travelling child
Name: 儿童姓名拼音
Date of birth: 儿童出生日期（日/月/年）
Passport number: 儿童护照号码
Information about accompanying person (leave blank if child is travelling alone)
This child has our consent to travel alone □ or
This child has our consent to travel with（如果儿童单独旅行，则下面三行无需填写）
Name: 陪同人的姓名拼音
Relationship to child: 陪同人与儿童的关系
Passport number: 陪同人的护照号码
Information about trip
We give our consent for this child to travel to:
Destination(s): Australia
Travel dates: from 出发日期（日/月/年） to 返程日期（日/月/年）
Number of entry(ies): Si