Authorization Form Machine Readable Passport (Mrp)

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AUTHORIZATION FORM
MACHINE READABLE PASSPORT (MRP)
I, the undersigned, hereby authorize Mr./Mrs./Ms………………………………………………………………………………. to
uplift my Machine Readable Passport (MRP).
He/she will present:
a)
His/her valid Identification #....................................... and Type……………………………………………
b)
My previous passport
c)
My receipt
Signature:………………………………………………………
Print name:…………………………………………………….
Date:……………………………………………………………..
Signature of Notary:………………………………………….
Stamp of Notary:
FOR OFFICIAL USE ONLY

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