父母亲同意书 Parents

父母亲同意书Parents' Agreement

-未成者(18岁以下) 与父母亲双方或监护人同

For minors not traveling with parents or persons in charge of legal custody

父亲/监护人1_________________________/____________________________及

Father/Custodian 1 (中文姓名) (英文姓名与护照同)

母亲/监护人2_________________________/_______________________________

Mother/Custodian 2 (中文姓名) (英文姓名与护照同)

兹同意:

1.子/ /被监护人________________________/______________________________

hereby authorize son/daughter/minor (中文姓名) (英文姓名与护照同)

2.子/ /被监护人________________________/______________________________

hereby authorize son/daughter/minor (中文姓名) (英文姓名与护照同)

3.子/ /被监护人________________________/______________________________

hereby authorize son/daughter/minor (中文姓名) (英文姓名与护照同)

自________(日)/__________(月)/__________( )至_______(日)_______(月)_________( ) from (day) (month) (year) (day) (month) (year)

去义大及其他申根国家,与该子/ /被监护人同者为:

to travel to Italy and other Schengen countries. The child/children will be accompanied by:

姓名:_________________/_______________________________关系:___________

Name (中文姓名) (英文姓名与护照同) relationship

职称:____________________服务单位名称:________________________________ Profession name of institution

签名: 父/监护人____________________________________________________

Signature father/custodian

母/监护人____________________________________________________

mother/custodian

主管机关认证(经民间/法院公证人以及外交部事事务局认证)

Authentication of signature by competent Authorities (i.e. public/court notary and then authenticated by MOFA)

*请另外提供户籍誊本正本

Please attach original Household Certificate.

*本办事处有权要求提供额外文件并保拒绝发签证之权

The IETCPO reserves the rights to request any additional document and refuse the issuance of visas.