Authorisation letter

To whom it may concern,

I (account owner)
*Title *First name Middle name *Family name

Account no.

*Alternative contact number

*Email:

am authorising (authorised person)

*Title *ID type:

*First name National ID Passport *ID/Passport no. *Nationality

Middle name

*Family name *Visa type *Visa number *ID/Passport expiry date

*Gender:

Male Female

*Date of birth

DD

MM

YYYY

DD

MM

YYYY

*Alternative contact number

*Email:

Documents required
Passport / national ID of the account owner Passport / national ID of the authorised person

I authorise the above to act on my behalf for the above account

in any aspect of this account,including any application, amendments or cancellation of any associated services. to make the following amendment to my du service:

*Account owners signature

*Date

DD

MM

YYYY

*Authorised persons signature

*Date

DD

MM

YYYY

AP-AL- ENG-OCT-12