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川北医学院来华留学生假期离华家长知情书

Parental Consent Form for leaving China during vacation


for International Students in North Sichuan Medical
College
My name is . Father/Mother of International

student , he/she is from batch , and majors

in .

I agree my son/daughter leave China during the vacation

from 20 year month date to20 year month date

I understand that my authorization to the file and I’m voluntary to

undertake all the consequences and responsibilities resulting when he/she

leaves the school premises.

Permanent address of the consent:

contact number(consent) : Name (signature,consent)

20 year month date

Copy of consent ID card/passport paste place

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