不随行父母同意函(领馆版本).docVIP

Australian Government The Department of Immigration and Citizenship Guangzhou Office 12/F Development Centre No.3 Linjiang Da Dao Zhujiang New City, Guangzhou, Guangdong tel:+ 86 20 3814 0250, fax:+ 86 20 8314 0251 email: visaenquiries.guangzhou@.au .au Permission to travel from non-travelling parent 不随行父母同意函 This form is to be completed in English and Chinese by non-travelling parent(s) of minors under 18 years of age. A photocopy of that parent’s identification card or passport AND proof of parental relationship must be attached. 此表格由十八岁以下申请人的不随行父母填写。不随行父母必须用中文和英文填写此表格并附上其身份证或护照复印件。 Application number / 申请档案号: ___________________________________________________ Applicant’s Name / 申请人姓名: _____________________________________________________ Father’s name / 父亲姓名: ______________________ ____________________________________ Address / 地址: ____________________________________________________________________ Telephone number / 联系电话: _______________________________________________________ I give permission for my child ________________________ to visit to Australia, accompanied by _________________, from ____________ to _______________(dd/mm/yyyy), for Single / Multiple entry (Please circle one). 本人同意由________________陪同我的孩子_____________于__________至__________期间 单次/多次 前往澳大利亚。 Signed / 签 名:_____________________Date / 日 期:___________________________ --------------------------------------------------------------------------------------------------------------------------- Mother’s name / 母亲姓名: ______________________ ____________________________________ Address / 地址: ____________________________________________________________________ Telephone number / 联系电话: _______________________________________________________ I give permission for my child ________________________ to visit to Australia, accompanied by _________________, from ____________ to _______________(dd/mm/yyyy), for Single / Multiple entry (Please circle one). 本人同意由_____________