Notarized Study Abroad Consent for Underage Students

Student Information

Name:

Date of Birth:

Passport Number: Country of Citizenship: Current Address:

Parent or Legal Guardian Information

Name:

Relationship to Student:

Contact Number: Email: Address:

Consent Details

Destination Country: Study Program / Purpose of Travel:

Start Date:

End Date:

Additional Information:

Consent Statement

I, the undersigned, as the parent or legal guardian of the above-named minor, hereby provide consent for him/her to travel and study abroad as stated above. I affirm that I have full legal authority to provide this consent.

Signature of Parent/Guardian

Date

Notarization

Notary Name: Commission Number: Date: Notary Signature and Seal: