1、 -_ authorization to the guardianname: date of birth: address: name: date of birth: address:name: date of birth: relationship with :to this period, i authorize the chinese civilization, , as the guardian of my during tay in beijingsignature (consigner):_(yyyy)_(mm)_(dd)sex: id no.:nationality:employ
2、ment:sex:passport no.:nationality:status:sex: passport no.:nationality:Oo 1092l Cy OoKpCPk“hl Cy Cy Cy A 1092lOoOo 2817181092lOoSr 1096lOoOooNaOoY 1097l1rOooBw”at 11loOxOoOo nora 1997912 -_ authorization to the guardianname: date of birth: address: name: date of birth: address:name: date of birth: r
3、elationship with :to this period, i authorize the chinese civilization, , as the guardian of my during tay in beijingsignature (consigner):_(yyyy)_(mm)_(dd)sex: id no.:nationality:employment:sex:passport no.:nationality:status:sex: passport no.:nationality: /(:)-/ to whom it may concern:this is to c
4、ertify that and my are willing to send our join the summer exchange program in the united states sponsored ciation. we hereby entrust the legal guardian of our child during his/her stay in united states. the legal guardian will supervise our childs activities, keep his/her passport and be responsible for our childs return to china. no person shall take my child or his/her passport away without written permission of the legal guardian named above.father: mother:date: date:- - -1 2 3 4
