Fillable Printable Authorization Letter

Authorization Letter

Date: __________ ______

This is to certify that

I,…………………………………………………………………………………………(Applicant’s name),

authorize my agent/representative whose name, contact details and signature are verified below,

to submit the India Visa application as well as collect the passport on my behalf.

Details of Agent/ Representative:

Name of the Agency (If Applicable): ...……………………………………………………………………..

Representative Name (who will submit the application/ collect the passport): …………………….....

➀

…………………………………………………

➁

………………..………………………………………

➂

………………..………………………………..

➃

………………..……………………………………...

Identification Number of the Representative: ……………………………………………………………..

➀

…………………………………………………

➁

………………..………………………………………

➂

………………..………………………………..

➃

………………..……………………………………...

Contact Details: ………………………………………………………………………………………………

………………………………………………………………………………………………………………….

Signature of the authorized agent/ re presentative: ………………………………………………………

Please note that agent/ representative must bring this authori zation letter in original along

with their original identity proof document, for verification purpos e. Neither the India Visa

Application be accepted nor the passpor t be handed over without this original

authorization letter and original identity proof.

Applicant’s Signature : …………………………………………………………….

Applicant’s Full Name: …………………………………………………………….