STUDENT INFORMATION

*

性别 *

必填字段

*

日期 *
Name and address of school in Canada: *

Address where student will reside in Canada: *

PARENTS/GUARDIANS INFORMATION (Preferably from both parents/guardians)

Parent/Guardian 1

*

*

日期 *
家庭住址 *

输入框 *

电话 *

Parent/Guardian 2

*

*

日期 *
家庭住址 *

电话 *

CUSTODIAN INFORMATION

*

*

日期 *
Status in Canada *

必填字段

Telephone no.: *

Home address: *

1

The application of the official seal below confirms that the notary public has received evidence that the custodianis a Canadian citizen or a permanent resident, is over 19 years of age, and currently resides at the home

address stated above.

(name of custodian), hereby solemnly declare that I will undertake the full custodianship for the said student,

(name of student), during his/her stay in Canada, while under the age of majority inthe province in which he/she resides.

As a custodian, I have made the necessary arrangements for the care and support of thesaid student in place of the parents as appropriate. By signing this custodian agreement, I certify that I reside within areasonable distance of the student's intended residence and school and will be able to fulfil my obligations as a custodian in the event of an emergency.

Signature of custodian:

Sworn before me at

in the province of

Date:

This

day of

Signature of notary

STUDENT INFORMATION

*

日期 *
*

性别 *

必填字段

日期 *
Name and address of school in Canada: *

Address where student will reside in Canada: *

PARENTS/GUARDIANS INFORMATION (Preferably from both parents/guardians)

Parent/Guardian 1

*

*

日期 *
家庭住址: *

电话: *

Parent/Guardian 2

*

*

日期 *
家庭住址: *

电话: *

CUSTODIAN INFORMATION

*

*

日期 *
Status in Canada *

必填字段

Telephone no.: *

Current residential address: *

My/Our child will reside: *

必填字段

I/We

the parents/guardians of the said student

and

hereby grant full custodianship to

during the student's stay in Canada, while he/she is under the age of majority in the province in which he/she resides. I have made the necessary arrangements for the care and support of the said student such that the custodian should act in the place of me/us, the parents. By signing this custodian agreement, I/We affirm that I am/we are satisfied the above appointed custodian resides within a reasonable distance of my/our child's intended residence and school and will be able to fulfil his/her obligations as a custodian in the event of an emergency.

Date:

Date:

This

day of

country

OFFICIAL SEAL OF NOTARY PUBLIC

注意事项

1.请家长务必对所选学校签字后方可申请;

2.文书写作务必请各位学生保密,不可外传;

3.在您交回此份表格之前, 请务必再次检查是否每一页部分都已经详细并确实填写完毕;

我们将根据您所提供的资料填写学校的申请表格;

谢谢合作

帝诺国际教育

加拿大大学申请所需个人资料表