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Form 122 - Visa Application Form - Ministry Of Foreign Affairs Of The Republic Of Tajikistan Page 7

Delivery Method – For clients based outside of London we normally send the passport back on a next day delivery

with Royal Mail Special Delivery. For clients based within London it can be cost effective to have the passports

returned using a same day bike courier. For full details of the associated delivery charges and Royal Mail

consequential loss coverage please view

Next day delivery within the United Kingdom:

Other delivery options :

Royal Mail Special Delivery 9am

Same day bike courier

Royal Mail Special Delivery 1pm

International delivery - DHL

Royal Mail Consequential Loss Coverage (£1K,

I will come to collect the passport from your

£2,5K, £5K, £7.5K £10K)*

office

Please contact me once the visa issued to

DHL

confirm the delivery method

*Royal Mail offer coverage on items that are sent using their Special Delivery service. Please view the information

and detail your required coverage in the box. This coverage is

subject to Royal Mail’s terms and conditions.

Name:

Delivery address:

Company:

Address:

Postcode:

Telephone number

at delivery address:

If applicable please

Payment details :

We hold a credit account

Please tick :

provide payment codes/purchase

with Diversity please invoice

order †

Please call me I will pay by

debit/credit card‡

†If you hold a credit account with Diversity Travel and your organisation requires payment codes (purchase order

numbers, costs centres etc.) we will require this before returning the passport

‡A surcharge of 2% is added to credit card transactions and 3% for American Express. There is no surcharge for debit

cards.

Please enter any additional instructions here:

P a g e

Form 122 - Visa Application Form - Ministry Of Foreign Affairs Of The Republic Of Tajikistan Page 7