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LETTER
OF PERMISSION TO TRAVEL
I,
______________, am the lawful custodial parent of
______________ (Child's
full name), born ____________ (DD/MM/YY)
at ______________ (Place of birth).
The Child's Passport
information is as follows:
Passport number:
_________________
Date of issuance of
passport: __________________ (DD/MM/YY)
Place of issuance of
passport: __________________.
______________________ (Name
of Person traveling with child) has my permission to travel
with the said Child(ren)
to visit:
________________ (Place
of visit) via ______________ (any stopovers) during
the period commencing ______________ (Start travel date)
and returning on _____________ (End travel date).
During that period the
child(ren) will be residing with:
_______________________
(Name of person travelling with child)
_______________________ (Address)
_______________________
_______________________ Telephone (h)
_______________________ Telephone (w)
_______________________ Fax/Email Address
Any questions regarding this
permission letter can be directed to the undersigned at:
_______________________
(Custodial Parent's Name)
_______________________ (Address)
_______________________
_______________________ Telephone (h)
_______________________ Telephone (w)
_______________________ Fax/Email Address
________________________ (date)
______________________________________________
Signature
of Custodial
Parent
(notarized)
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