Details of Father

Mr. (Family name).....................................................................

(First name) ....................................................................................................

(date of birth) (dd/mm/yyyy) ………/………../ …………….

□ if filled out, father’s passport copy needs to be attached

Details of Mother

Mrs. (Family name) ...............................................................................

(First name) ..........................................................................................

(date of birth) (dd/mm/yyyy) ………/………../ …………….

□ if filled out, mother’s passport copy needs to be attached

Details of Legal Guardian

Mr. /Mrs. /Ms. (Family name) ................................................................

(First name) ...........................................................................................................

(date of birth) (dd/mm/yyyy) ………/………../ …………….

□ if filled out, legal guardian’s passport copy needs to be attached

Details of Child

Mr./ Ms. (Family name) ............................................................................

(First name) .....................................................................................

(date of birth) (dd/mm/yyyy) ………/………../ …………….

2.) I / We give the authorization to my / our above mentioned son / daughter to travel to Germany and / or the Schengen countries without me / us, accompanied by:

Detail of Escort:

Mr. /Mrs. /Ms. (Family name) ........................................................................

(First name) ..............................................................................

(date of birth) (dd/mm/yyyy) ………/………../ …………….

□ if filled out, escort’s passport copy needs to be attached

3.) For the intended dates of travel:

(dd/mm/yyyy) ………/………../ …… to (dd/mm/yyyy) ……./ ……./ ……..

Abu Dhabi / Dubai, dated ………/ ………../ …………….

Signature father (if applicable): …………………………………………

Signature mother (if applicable) : …………………………………………………

Signature legal guardian (if applicable): ……………………………………………