International Legal Guardianship Consent

I, (Full Name of Parent/Legal Guardian), born on (Date of Birth), residing at (Address), hereby grant consent for international legal guardianship as described below:

Minor’s Information
Full Name:
Date of Birth:
Nationality:
Passport/ID Number:
Guardian’s Information
Full Name:
Date of Birth:
Address:
Relationship to Minor:
Passport/ID Number:
Duration of Guardianship
From: To:
Purpose of Guardianship
Special Instructions or Additional Information
Signature of Parent/Legal Guardian
Date:
Signature of Guardian
Date:
Witness (if required)
Name:
Signature:
Date: