Power of Attorney
I hereby authorize the following person to act as a representative on my behalf/ my minor
child to:
to submit my visa application
to make additions or changes to the application form
to sign consent/declarations relating to the visa application (except the signature on the
application form)
to collect travel document (passport) from the visa application centre
Information about representative
Surname:
First name:
Proof of identity:
(Travel document and/or domestic Russian passport)
(document number)
(Mobile) Phone:
Information about yourself (person granting the power of attorney)
Note: in case of minors, either of the parent / guardian is requested to sign the power of attorney.
Visa Applicant:
Surname:
First name:
proof of identity:
(document number)
(Travel document and/or domestic Russian passport)
Visa Applicant (Minor):
Surname:
First name:
proof of identity:
(Travel document and/or domestic Russian passport)
(document number)
Place and date:
Signature:
Please enclose a copy of the above mentioned proof of identity of the person who has been issued the
power of attorney (travel document or domestic Russian passport).