AUTHORIZATION

I —-----------------------------------------------------------------------
( Last name and first name)
Born in —---------------------------------------------------, date of birth
—---------------------------------------------, passport holder no
—-------------------------------------------------
Issued on submitted day —-------------------------------------, by
—-------------------------------------------------------
In accordance with Article 32 of the Law on Travel Documents

I authorize

—----------------------------------------------------------------------
( Last name and first name)
Born in —------------------------------------------------------, date of
birth—-------------------------------------
Holder of personal identification document
—------------------------------------------------------------------
Issued on day —--------------------------------------- by
—-------------------------------------------------------
To collect my new biometric passport on his behalf in General Consulate of Republic of
Serbia in New York City issued upon request no —------------------------------------- on the
submitted day—------------------------------------

In the New York City Autorizer

—------------------------------ —------------------------------------
(date) ( signature)