Parental Consent Form For Travel (Page 2 of 2) in pdf

Parental Consent Form For Travel Page 2

Annexure C

Legal Guardian:

Surname, Name

Date of birth

Residential Address

Identified by**

I.D. no.

Passport no.

Contact no. Work

Mobile

Residence

Contact no.

Signature

Date

Attach legal guardian’s appointment letter or court order and ID or passport.

Copies of the following documents are attached:

Unabridged Birth Certificate (UBC) or Equivalent Document of child travelling

ID or Passport and Visa of person receiving child in the Republic

Court Order (where applicable)

Death Certificate (of any deceased parent reflected on the UBC or Equivalent Document)

ID or Passport of parent(s) or legal guardian(s)

Thus signed before me on this …………. day of ………….20...

………………………………………………………….

POLICE STATION STAMP

First name(s): ………………………………………

Surname: ……………………………………………

Capacity: …………………………………………….

Place: …………………………………………………

*Both parents whose details appear on the UBC or Equivalent Document shall consent to the child’s travel.

Where only one parent’s details appear, only such parent’s consent is required.

**Delete whichever is not applicable.

***An Equivalent Document is any official document or letter issued by a foreign government (including a foreign embassy) or a

letter issued by the Director-General of the Department of Home Affairs in lieu of an unabridged birth certificate and which serves

as a confirmation of parentage of a person below the age of 18.

****This document remains valid only for the period stipulated.

Parental Consent Form For Travel Page 2