Authorization Letter

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Authorization Letter
Date: ________________
This is to certify that
I,…………………………………………………………………………………………(Applicant’s name),
authorize my agent/proxy/representative whose name, contact details and signature are verified
below, to submit the India Visa application on my behalf.
Details of Authorized Agent/ Proxy/ Representative:
Name of the Authorized Agency (If Applicable): ………………….....………………………............…
Proxy/ Representative Name (who will submit my application):
……………………………………………......……
………………….....……………………….…
Identification Number of the above Proxy/ Representative (should mention below):
…………………………………………………
………………..……………………………………
Contact Detail: ………………………………………………………………………………………………
………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………….
Signature of the authorized agent/ proxy/ representative:.………………………………………………
Please note that my agent/ proxy/ representative must bring this authorization letter in
original along with their original identity proof document, for verification purpose. The
India Visa Application will not be accepted without this original authorization letter and
original identity proof.
Applicant’s Signature (As in Passport) : …………………………………………………………….........
Applicant’s Full Name (Alphabet): ……………………………………………………………..................

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