LETTER OF AUTHORIZATION FOR MINOR AGE 15 and UNDER - DOC

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					   LETTER OF AUTHORIZATION FOR MINOR AGE 15 and UNDER


Date : ………………………………


I/We …………………………………… ……………………………………………..
hereby declare the We/I have legal custody of the child

My/Our child´s name……………………………………………………………………

Child´s date of birth………………………………………………………......................

Place of birth………………………………………………………………………….....

Passport No.: ……………………………………………………………………………


                                      and authorize


……………………………………………………………………………….travel Agency

to file my/our child´s visa application form and collect the ready visa on my/our behalf at
Czech Economic and Cultural office in Taipei.


                                      Travel date

From…………………………………….. To ……………………………………..

Main destination …………………………………………………………………....


Signatures: ………………………………                            ………………………………….
                Father                                   Mother




Please attach to this letter copy/copies of your passports/ID cards.