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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/ representative: