加拿大 完成后保密 – B(頁1/1) 移民、公民、難民 僅供官方使用 未隨行父母/監(jiān)護人關(guān)于未成年人移民加拿大的聲明 文件編號 此填寫好的聲明和有效、合法的身份證明文件必須提交到負責(zé)處理永久居民申請的簽證處。 此表必須: ? 由未隨行父母/監(jiān)護人、前配偶或前同居伴侶填寫,并且公證人見證 ? 每位到加拿大旅行的子女必須有此表的副本。 我, , 聲明,我對 孩子: 孩子全名 孩子出生日期 與其父母/監(jiān)護人: 父親 父母/監(jiān)護人姓名 與孩子的關(guān)系 父母/監(jiān)護人姓名 與孩子的關(guān)系 移民到加拿大沒有異議。 如果兒童與上述父母/監(jiān)護人以外的人一同到加拿大,請?zhí)顚懘瞬糠帧?姓名 與兒童的關(guān)系 我通過簽字并返還此信函表明已閱并了解此信函的內(nèi)容,我完全了解我可能與上文提到的孩子長久分離。 我也了解,如果希望以臨時居民或永久居民身份入境加拿大,申請簽證時我必須遵守《移民及難民保護法》中的所有生效規(guī)定。 非同行父母/監(jiān)護人、前配偶或前同居伴侶在見證人面前完成 此表,并出示身份證件原件給見證人。* 簽字(在見證人面前) 日期 年 月 日 緊急聯(lián)系電話號碼 地址 見證人(公證人)填寫此處 見證人職位和姓名(字體大寫。必須是公證人) 見證人專業(yè)印章 見證人簽字
(翻譯文本由迪朗上海浦東翻譯公司提供)
英文文本
Citizenship and Citoyenneté et PROTECTED WHEN COMPLETED – B Immigration Canada Immigration Canada FOR OFFICE USE ONLY DECLARATION FROM NON-ACCOMPANYING File no. PARENT/GUARDIAN FOR MINORS DayMonth Year IMMIGRATING TO CANADA Date Send this fully completed Declaration and a photocopy of a valid and legible identity document to the Canadian Embassy/Canadian Consulate. This form must be: ? filled out by the non-accompanying parent/guardian, former spouse or former common-law partner and; ? witnessed by a notary public. A copy of this form must be completed for each child travelling to Canada. I, , declare that I have no objections to my DayMonth Year child: Child’s full name Child’s date of birth immigrating to Canada with his/her parent/guardian: Parent/Guardian name Relationship to child Parent/Guardian name Relationship to child Fill out this section if this child is travelling to Canada with someone other than the parent/guardian listed above. Name Relationship to child I have read and understand the contents of this letter and by signing and returning this letter, I am confirming that I fully understand that I may be permanently separated from my above-named child. I further understand that if I wish to enter Canada, as a temporary resident or a permanent resident, I must comply with all requirements of the Immigration and Refugee Protection Act and Regulations in force at the time of my application. To be completed by the non-accompanying parent/gardian, former spouse or former common-law partner, in front of the witness. Present your original Identification Card to the witness* Signature (before witness*) Date Day Month Year Emergency contact telephone number Place To be completed by the witness (notary public) Witness title and name in block letters (*must be a notary public) Witness* professional chop/stamp Signature of witness*