PROFORMA OF LETTER OF AUTHORIZATION

ToThe Under Secretary,Government of Tripura,G.A. (Political) Department,Agartala.

Subject :– Letter of Authorization to take delivery of India-Bangladesh Passportissued to the present applicant.

Sir/Madam,

I hereby authorize Shri/Smti ____________________________________________

who is my ____________________________________ whose signature is attested below by me

for receiving the India-Bangladesh Passport issued to me in accordance with my

application for the same dated.

________________________________(Date of Application)

The authorisation may kindly be accepted.

Yours faithfully,

_____________________________________ (Full signature of the applicant) Full Postal Address :

__________________________________________(Here the person authorized should sign infull with present address)

Signature Attested.

__________________________________________ (Here the applicant should sign in full)

___________________________________________(Date and Place of this application be givenby the Applicant)

(Relation with the applicant)

(Name of the person authorised)

Accepted

_____________________________________________[Here the Under Secretary (Political)

Department will sign with date & seal]

Vill :

P.O. :

Dist :