Consent form for travelling abroad with a minor
• If you pass through border control with a minor, you must be able to show that you have the consent of the child’s
parent(s) or guardian(s) who are not travelling with the child.
• You can use this form to show this. Your passage through border control will be quicker if you have the form with you.
• Complete a copy of this form for each child. After filling in the form, print and sign it.
• If you have any questions, visit www.travelwithchildren.org. Or call the Dutch International Child Abduction Center’s
travel question hotline (+31 (0)88 800 9000).
Period of travel (dd-mm-yy) From:
To:
Minor’s details:
Surname
Given name(s)
Date and place of birth
Citizen service number (BSN)
Nationality/ies
Passport or identity card number
Passport or identity card valid until
(dd-mm-yy)
Minor is travelling alone Yes/No
Yes
No
If the minor is travelling alone, the ‘Accompanying adult(s)’ section
can be left blank.
Accompanying adult(s):
Accompanying adult(s)/organisation
(for example, school, sports club)
Adult 1 (if applicable)
Adult 2 (if applicable)
Surname
Initial(s)
Date of birth
Place of birth
Citizen service number (BSN)
Nationality/ies
Passport or identity card number
Passport or identity card valid until
(dd-mm-yy)
Relation to minor
Non-accompanying adult(s)/organisation giving permission for travel:
Adult 1
Adult 2 (if applicable)
Surname
Initial(s)
Date of birth
Place of birth
Citizen service number (BSN)
Nationality/ies
Passport or identity card number
Passport or identity card valid until
(dd-mm-yy)
Address
Postal Code
Town/city
Name of organisation (if applicable)
Telephone number(s)
Signature(s)
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Travel information:
Name of family/accommodation
at destination
Postal Code and town/city
Country
Telephone number
Itinerary (for example, flight number)
Consent
This form has been completed truthfully.
I/We authorise the accompanying adult/adults to travel with the aforementioned minor to:
Signature of adult(s) giving consent:
Adult 1’s signature
Adult 2’s signature
(if applicable)
Date and place:
Date and place:
Signature of accompanying adult(s):
Adult 1’s signature
(if applicable)
Adult 2’s signature
(if applicable)
Date and place:
Date and place:
Please also show the following documents when you cross the border:
• Copy/ies of authorising adult’s /adults’ passport(s) or identity card(s).
• Documents showing who has parental responsibility for the child. The documents required depend on your personal situation.
To decide which documents to take, use the step-by-step plan on the website of the Dutch International Child Abduction
Centre: www.travelwithchildren.org.
If you have any questions, visit www.travelwithchildren.org. Or call the Dutch International Child Abduction Center’s travel
question hotline (+31 (0)88 800 9000).
After filling in the form, print and sign it.
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