Date :

To : ( Name of the Person/s or Authorized Person ) Address SUB: xxxxxx. Dear xxx I xxxx bearin ro!! no xxxxx of xxxxxxxx. I "ou!d !i#e to authorizer $r/$s %%%%%%%%%%%%%% to et the fo!!o"in tuition fees of amount xxxxxx/& after submittin the ori ina! 'ertifi'ates in (our 'o!!e e xxxx in m( beha!f be'ause as of no" iam in out of station. $r/$s. is m( ( state (our re!ationshi) "ith the one '!aimin ). To ether "ith $*/$s is m( Identifi'ation +ard attestin this authorization. Than# (ou ,er( mu'h for (our #ind 'oo)eration.

*es)e'tfu!!( (ours$r ((our name and Si nature)