Statement of Consenting Minor to Go Abroad
(同意未成年人出国声明)
Father’s name........................................
( 父亲姓名)
Date of birth .........................................
（出生日期）
Place of birth................................
( 出生地) ID No.....................................
(身份证号)
Name of Minor.....................................
(未成年人的姓名)
Date of birth....................................
(出生日期)
Place of birth...........................................
(出生地)
P.P.No........................
(所持护照号)
Mother’s name............................................
(母亲姓名)
Date of birth..................................
（出生日期）
Place of Birth.................................................
( 出生地) ID No.......................................
(身份证号)
Name of Minor...................................
(未成年人的姓名)
Date of birth.......................................
(出生日期)
Place of birth..........................................
(出生地)
P.P.No...........................
(所持护照号)
I agree with the above statement: Minor to travel abroad
(本人声明同意上述未成年人出国旅游)
From...............................................to...................................................
(出国日期自 至 )
The minor go to abroad with...........................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)
Date of Birth......................Place of birth............................P.P.No..........................
(出生日期) (出生地) (所持护照号)
The minor go to abroad with...........................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)
Date of Birth......................Place of birth............................P.P.No..........................
(出生日期) (出生地) (所持护照号)
Farther’s signature in pinyin and Chinese... Mother’s signature in pinyin and Chinese
(父亲的拼音和中文签字) (母亲的拼音和中文签字) .
日期： 日期：
Date: Date: