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 also be lodged with the visa application).
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。
Visaapplicant’sName/申请人姓名:______________________________________________
Father’s name / 父亲姓名: ______________________ ____________________________
Home Addres /地址: _________________________________________________________
Hometelphonenumber/家庭电话_______________________________________________
Mobiletelephonenumber /手提电话 ____________________________________________
Company/Organisationname/______________________________________
工作单位名称
Address/地址_______________________________________________________________
__________________________________________________________________________
Worktelephonenumber/工作单位电话 __________________________________________
Position/职位_______________________________________________________________
LengthofService/工作年限 ____________________________________________________
I give permission for my child ________________________ to visit to America, accompanied by _____________________
本人同意由________________陪同我的孩子_____________前往美国。
Signed/签 名: ________________________Date/日 期: __________________________
Mother’sname/母亲姓名: ______________________ _______________________________
HomeAddress/ 地址: ________________________________________________________
Hometelphonenumber /家庭电话_______________________________________________
Mobiletelephonenumber /手提电话 ____________________________________________
Company/Organisationname/ _____________________________________
工作单位名称
Address /地址______________________________________________________________
__________________________________________________________________________
Worktelephonenumber /工作单位电话 __________________________________________
Position /职位_______________________________________________________________
LengthofService 工作年限____________________________________________________
I give permission for my child ________________________ to visit to America, accompanied by _____________________
本人同意由__________________陪同我的孩子_____________________前往美国
Signed/签 名: _____________________ Date / 日 期: ___________________
