Date:

Authorization Letter

Nishan Thomas Vaz

This letter serves to authorize Mr./Ms._________________________________________________
to collect my / our passports from Visa Collection Center on our/my behalf.

My/Our passport details are as follows:

Name in Passport Passport Number

Kingsley Harrison S0140139

The authorized person’s photo ID is attached and the signatures are attested hereunder:

Authorized by:

Kingsley Harrison 9869329148

(Names) (Signatures) Mobile No.

Authorized Person’s Name:

Nishan Thomas Vaz

(Name) (Signatures) (Date)

Note: By signing this authorization letter, you absolve CGI of any responsibilities once the
passports have been delivered and are in the possession of the person authorized to act on your
behalf.