Collect Envelope Authorization Letter

AUTHORISATION LETTER
Date ......................................
This is to certify that I ................................................................................. (applicant’s name)
authorise my agent / representative, whose signature is verified below, to collect the sealed
envelope on my behalf.
Applicant’s signature .....................................................................................................................
VFS Global receipt reference number (KTM--xx-xxxxxx-x) ...........................................................
Please note: Representatives or agents must show original photographic proof of their identity
for verification purposes. If VFS Global cannot verify their identity, they will not be allowed to
collect/receive the sealed envelope.
If you are authorising an agent, please supply the following details:
Agency name ...........................................................................................................................
Agency contact details .............................................................................................................
Name of agent who will collect/receive the envelope ...............................................................
Agent’s photo identity document number .................................................................................
Agent’s specimen signature .....................................................................................................
If you are authorising a representative, please supply the following details.
Representative’s name ............................................................................................................
Representative’s photo ident ity document number ..................................................................
Representative’s relationship with the applicant ......................................................................
Representative’s specimen signature ......................................................................................
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