Fillable Printable Sample Letter Format
Fillable Printable Sample Letter Format
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Sample Letter Format
Authoriz ation Letter
Date
This is to certify that I................................................................................................ (Applicant’s
Name) Authorize my agent/ representative, whose signatures are verified below, to collect the
sealed envelope on my behalf.
Fill the follow ing details
Name of the Agency (If applicable).................................................................................................
Representative Name who will collect the Passport…….................................................................
Id Number of the Representative.....................................................................................................
Contact Details………………...........................................................................................................
.........................................................................................................................................................
Specimen Signature of the authorized representative.....................................................................
Please note that representative must bring the original Identit y proof,
for ver ification purpose. The passport / document will not be hande d
over without original Identity proof.
Applicants Signature
BLS Reference Number / Passport Number