澳洲不随行父母同意函.doc

Australian Government
Department of Immigration and Citizenship

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 parents 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以及与申请人的关系证明。

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
_____________________

本人同意由________________陪同我的孩子_____________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
_______________________________

本人同意由__________________陪同我的孩子_____________________前往澳大利亚。

Signed / 签 名: __________________________ Date / 日 期: _____________________________