AUTHORIZATION LETTER

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From (Authorizer)

Name:	Mr. ARUN KUMAR SINGH
Father's Name:	Shri MAHESH PRASAD SINGH
Address:	567, Sector 14, Gurgaon
	Haryana - 122001
Mobile No.:	+91 98765 43210
Email:	arun.singh@email.com
Aadhaar No.:	XXXX-XXXX-5678
PAN No.:	ABCPS5678L

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To (Authorized Person)

Name:	Mr. VIKRAM SHARMA
Father's Name:	Shri RAMESH SHARMA
Relationship:	Brother
Address:	123, Civil Lines
	New Delhi - 110054
Mobile No.:	+91 98765 12345
Aadhaar No.:	XXXX-XXXX-9012

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Purpose of Authorization

☑️ To collect documents from government office

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AUTHORIZATION

To Whomsoever It May Concern,

I, Mr. ARUN KUMAR SINGH, son of Shri MAHESH PRASAD SINGH, residing at 567, Sector 14, Gurgaon, Haryana - 122001, do hereby authorize Mr. VIKRAM SHARMA, son of Shri RAMESH SHARMA, residing at 123, Civil Lines, New Delhi - 110054, to act on my behalf for the following purpose(s):

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Scope of Authorization

☑️ Document Collection

I authorize the above-named person to collect the following document(s) on my behalf:

S.No.	Document Name	From Authority
1	Passport	Passport Seva Kendra, Gurgaon
2
3

Application/Reference No.: DGXYZ12345678

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Alternative Authorization Purposes

Select the applicable purpose and delete others:

For Bank-Related Work

I authorize the above-named person to:

• Operate my bank account
• Collect cheque book / ATM card / Passbook
• Submit documents for loan/account opening
• Close/modify my bank account
• Collect demand draft / fixed deposit

Bank Name: _______________ Account No.: _______________ Branch: _______________

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For Utility Services

I authorize the above-named person to:

• Apply for new electricity/water/gas connection
• Pay utility bills on my behalf
• Submit meter reading / complaint
• Collect documents related to utilities
• Apply for transfer of connection

Service Provider: _______________ Consumer No.: _______________

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For Vehicle/Transport

I authorize the above-named person to:

• Collect vehicle registration certificate (RC)
• Apply for driving license / renewal
• Collect vehicle from service center
• Appear at RTO for inspections
• Submit documents for vehicle transfer

Vehicle No.: _______________ RTO: _______________

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For Property/Legal

I authorize the above-named person to:

• Collect property documents from registrar
• Submit documents for registration
• Appear before authorities for property matters
• Collect encumbrance certificate
• Handle municipal/corporation matters

Property Details: _______________ Authority: _______________

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For Medical Purposes

I authorize the above-named person to:

• Collect medical reports / records
• Submit insurance claims
• Provide consent for medical procedures (emergency only)
• Collect medicines on my behalf

Hospital/Lab: _______________ Patient ID: _______________

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Duration of Authorization

Valid From:	1st January, 2025
Valid Until:	31st January, 2025
Purpose Specific:	One-time collection only

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Identification

The authorized person may be identified by the following documents:

Document	Number
Aadhaar Card	XXXX-XXXX-9012
PAN Card	FGHVS9012M
Driving License	DL-0420200054321

Please verify the identity of the bearer before handing over documents/services.

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Declaration

I, Mr. ARUN KUMAR SINGH, hereby declare that:

1. I am authorizing Mr. VIKRAM SHARMA of my own free will
2. I take full responsibility for any actions taken by the authorized person under this authorization
3. This authorization is for the specific purpose mentioned above
4. I may revoke this authorization at any time by written notice
5. The information provided above is true and correct

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Contact for Verification

In case of any doubt or for verification, please contact me at:

Mobile:	+91 98765 43210
Email:	arun.singh@email.com
Alternate Contact:	+91 99999 88888 (Spouse)

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Signatures

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Witness (Optional)

Name:
Address:
Mobile No.:
Signature:	_________________________

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ID Proof Attachments

Please attach the following documents:

• Copy of Authorizer's Aadhaar/ID Proof
• Copy of Authorized Person's Aadhaar/ID Proof
• Recent passport size photograph of both parties (if required)
• Original authority letter (this document)

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