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[转载]赴加拿大留学监护人授权公证书的中英文翻译

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    本周应朋友之请,给人做了一份中学生在加拿大上学的监护人公证书。放在网上给同行们借鉴

委托监护人声明-父母/监护人 

学生信息

学生姓名                 XXX

国籍

中国

出生日

08/10/1993

性别

在加拿大的学校名称和地址:

 

 

学生在加拿大住址:

希尔顿家庭住宿服务系统安排的接待家庭

 

父母/监护人信息(最好父母两人的信息):

 

父母/监护人1

父母/监护人2

姓名全称

XXX

XXX

生日

20/11/1962

11/5/1968

家庭住址

北京市丰台区70号院4单元402室

北京市丰台区70号院4单元402室

电话

 

 

 

管理人信息

姓名全称:

柯里斯廷W. 佛埃

在加拿大状况:

加拿大公民 或

永久居留

生日:

05/09/59

现住址:

 

 

电话:

我们的孩子将与另一人 接待户家庭(请提供姓名并说明关系)

 

我们,XXXXXX 是学生 XXX 的父母/监护人,在此授XXXXXXX.XXXXX全权管理上述学生在加拿大住宿的省份未达到成年之前的管理。我们已做好上述学生的各项照顾和生活安排,管理人应该代表我们父母进行处理。我们签署此声明,确认指定的管理人居住地与我们孩子将要选择的居住地以及学校之间的距离适当,能够确保管理人在紧急情况下执行管理人职责。

 

父母/监护人(1)签字:                            日期:

父母/监护人(2)签字:                            日期:

 

于---------年--------月-------日,在---------国家---------省市,在我面前,作出上述声明。

 

公证员签字:---------------------                           -------------------公证处盖章

 

CUSTODIANSHIP DECLARATION-PARENTS/GUARDIANS 

 

STUDENT Information

Student's full Name                     XXX

Citizenship

Chinese

Date of Birth

08/10/1993

Sex

Male      Female

Name and address of school in Canada

 

 

Address where student will reside in Canada

Host family arranged by Halton Homestay Service

 

 

 

PARENTS/GUARDIANS Information (Preferably from both parents/guardians)

 

Parent/guardian 1

Parent/guardian 2

Full Name

XXX

XXX

Date of birth

20/11/1962

11/5/1968

Home address

 

 

phone

 

 

 

 

 

CUSTODIAN Information

Full Name

 

Status in Canada

Canadian citizen or

Permanent resident

Date of birth

05/09/59

Crrent residential address

 

 

phone

 

My/our child will reside:

With appointed custodian        in the school dormitory       or  with another person

I/We -------and -------(name of the parents or guardians, the parents/guardians of the said student---------(name of student), hereby grant full custodianship to -----------(name of custodian),during the student's stay in Canada while he/she is under the age of majority in the province in which he/she resides. I have made the necessary arrangements for the care and support of the said student such that the custodian should act in the place of me/us, the parents. By signing this custodian agreement, I/We affirm that I am/we are satisfied the above appointed custodian resides within a reasonable distance of my/our child's intended residence and school and will be able to fulfil his/her obligations as a custodian in the event of an emergency.

Signature of parent/guardian (1):                Date:

Signature of parent/guardian (2):                Date:

Sworn before me at:------------(city), in the province of -------------(privince/territory), ----------(contry)

This ------Day of ----------(month)---------(year)

 

Signatue of Notary:                                  Official seal of Notary Public  

 


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