Letter Of Consent For Canadian Minors Travelling To Uk

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The following sample letter can be amended to meet your specific situation and requirements.
To Whom It May Concern
I (We), ________________ (full name(s) of custodial and/or non-custodial parent(s)/legal
guardian(s)), am (are) the____________________ (lawful custodial parent and/or non-custodial
parent(s) or legal guardian(s)) of
Child’s full name: _____________________________________
Date of birth (DD/MM/YY): _____________________________
Place of birth: ________________________________________
Canadian passport number:_____________________________
Date of issuance of Canadian passport (DD/MM/YY): ________
Place of issuance of Canadian passport: __________________
________________ (child’s full name), has my (our) consent to travel with
Full name of accompanying person: _______________________
Canadian or foreign passport number: _____________________
Date of issuance of passport (DD/MM/YY):_________________
Place of issuance of passport: ___________________________
to visit ______________ (name of foreign country) during the period of __________________
(dates of travel: departure and return). During that period, ________________ (child’s full name)
will be residing with ________________ (name of person where child will be residing in foreign
country) at the following address:
Number/street address and apartment number: ______________
City, province/state, country: _____________________________
Telephone and fax numbers (work and residence): _______________________
Any questions regarding this consent letter can be directed to the undersigned at:
Number/street address and apartment number: ______________
City, province/state, country: _____________________________
Telephone and fax numbers (work and residence): _______________________
Signature(s):______________________________________ Date:_________________
(Full name(s) and signature(s) of custodial parent, and/or non-custodial parent(s) or legal
guardian(s))
Signed before me, ________________ (name of witness), this _________________ (date) at
________ ______ (name of location).
Signature: ________________ (name of witness)

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