委托书

本人声明，同意委托以下人员担任我儿子/女儿在六盘水师范学院学习期间的监护人。如有任何问题，我将全权负责。

申请人姓名:

性别:国籍:

护照号码:

监护人姓名:

性别:国籍:

身份证件号码:

父母姓名:

性别:国籍:

护照号码:

父母签字:

日期:

Authorisation Letter

I herebydeclare that I agree for the following person to be the guarantorfor my son/daughterin the course of his/her study at Liupanshui Normal University. Should there be any emergency occurred to him/her, I will be in duty bound to take responsibility for it.

Applicant’s Name:

Sex: Citizenship:

Passport No.:

Name of Guarantor:

Sex: Citizenship:

I D Card:

Name of parent:

Sex: Citizenship:

Passport No.:

Signature of parent:

Date: