居留(定居)同意書

Consent Letter of Residency/Household-Registration Application

茲同意(I/we have agreed that my/our)
☐ 子 (son, name in Chinese:)
☐ 女 (daughter, name in Chinese:)
☐ 受監護人 (ward, name in Chinses:)
申請(to apply for)	☐ 居留(alien residency) ☐ 定居(household registration)	in Taiwan (ROC).

法定代理人或監護人(parent/legal guardian ) #1	稱謂(relation):	姓名簽章(signature):	身分證字號(ID#):	護照號碼(Passport#):

聯絡電話(phone#):	地址(Address):
法定代理人或監護人(parent/legal guardian ) #2	稱謂(relation):	姓名簽章(signature):	身分證字號(ID#):	護照號碼(Passport#):

聯絡電話(phone#):	地址(Address):

日期 (date) :