AFFIDAVIT
We, {____________________} and {____________________} both of legal age, Chinese citizen and with address at ________________________________________
____________________________ swear, under the penalty of perjury that we hereby depose and state :
1. that we are the parents of {____________________},
◆ passport number : ___________________________
◆ date of birth : ___________________________
2. that we are authorizing our (mother / father / sister / brother) {__________________}, to bring our (son / daughter) {__________________} for a social visit to CNMI departing on ____________________ and returning on ____________________,
3. that {____________________} will be responsible for the well being and safety of our child during the entire duration of this visit to CNMI.
FURTHER AFFIANT SAYETH NONE
We have hereunto affixed our signatures this _____ of ________ 2014 at ________________ City,
Name of father : {________________} Name of mother : {________________}
Signature : ______________________ Signature : ______________________
授 權 書
我們, {_______________} 和 {_______________} 兩位都是合法成年人,現居住址:_____________________________________________________。在此,我們謹以真誠宣誓作證:
1. 我們是小孩 {_______________} 的合法父母;
◆ 護照號碼:____________________________
◆ 出生日期:____________________________
2. 我們在此授權我們的﹝母親 / 父親 / 姊妹 / 兄弟﹞{_______________}﹝以下簡稱受託人﹞帶領我們的﹝兒子 / 女兒﹞{_______________} 前往塞班天寧島旅遊,出發日期:____________________,回程日期:____________________。
3. 在此旅遊期間,受託人 {_______________} 會負責我們所託付小孩的安全和日常生活。
我們於2014年_____月_____日在中國__________市在此授權書上簽名。
父親姓名:{_______________} 母親姓名:{_______________}
父親簽名:________________________ 母親簽名:________________________