The Letter of Authorization
I, ZHANG San, of (社区栋数), (社区名称拼音，首字母大写),(区县)(市), hereby appoint LI Si (Passport No. ), my mother, of (小区栋数), (社区名称拼音，首字母大写),(区县)(市), to act in my capacity to do every act of that I may do to take full responsibility of my daughter WANG Wu (Passport No.). This power shall be in full force and effect on the date from(旅游入境、出境时间)during their visit to(旅游地).
The relationship of my mother, my daughter and myself can be certified by the attached Household Register.
By (委托人姓名)ZHANG San
(Signature)
(Signature to be authorized)
(被委托人姓名)LI Si
July 7, 201X