Free Authorization Letter 39
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Authorization 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.
If Agent, please fill the following details: Name of the Agency: -

……………………………………….

Staff Name who will collect the sealed envelope: -

……………………………………….

Contact Details of the Agency: -

……………………………………….

……………………………………….……………………………………….………………...
Specimen Signature of the authorized agent: -

……………………………………….

If Representatives, please fill the following details: Name of the Person: -

……………………………………….

Id Number of the Person: -

……………………………………….

Relationship with the Applicant: -

……………………………………….

Specimen Signature of the authorized recipient: -

……………………………………….

Please note that representative / Agent are required to bring the original Identity
proof, for verification purpose. The envelope containing passport / document will
NOT be handed over without original Identity proof.