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律师事务所抬头信纸打印(打印时请删除此话述)
Letter of Authorization and Statement
The Authorizer(s) is/are the _________________[father or mother or the direct relatives]of the _________________[name of the minor](passport/license no. _________________),who is/are the legal guardian of the Minor, and hereby make the following statement and authorization:
Allow the Minor to be participated in the __________________(tour Project) and travel to ____________(country) with _________________[name of the adult tourist](passport/license no. _________________). The Accompanying Guardian will keep the passport, visa or other travel documents for the Minor.
Authorize the Accompanying Guardian to act with all rights and fulfill all guardian liabilities of the legal guardian of the Minor to guard the personal and property safety of the Minor. All the guardian liabilities and actions rendered by the Accompanying Guardian will be assumed as the actions made by the legal guardian.
Agree the Minor be treated with any necessary medical and emergency measures during the tour trip.
The Authorizer is/are the lawful legal guardian of the Minor and have the full authority to make the above authorization and statement.
The Authorizer guarantee that the above representation, statement and authorization has no falsehood or omission and promise to assume all liabilities to the consequence of the above statement and authorization. The Authorizer attached herewith the legal documents to prove his/her identity as the legal guardian of the Minor.
Name of the Authorizer1:_______________ Signature:_________________
Name of the Authorizer2:_______________ Signature:_________________
Address:____________________________ Home Tel:_________________
Work Tel:____________________________ Cell:_____________________
Date:_________________
Name of the Lawyer: ______________________
Passport/License No:______________________
Cell:____________________________________
Law Firm: _______________________________
Seal:
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