CONSULAT GENSRAL DB FRANCE 4 PONDICHERY ET CHENNAI BBRBAU DE PRANCE Authorisation byt Seay (op thie piseporeeollealon by.o thicd party j The purpose of this power of sttarney ig tarautiaize «Hird party to collect the envelope contalaing my passport in my name | swith may consent, once my enplicetion has bea processed by the Consulate Generel of France. 4 cony of this power of attorney, duly completed, signed (applicant sha the thicd party) and dated will be piven by me to te third party. The VES canter wil Iriform ie suhaxalis envelipe Is rendy to he-ollgeted and will require this power of attorney, ‘HINDLY. NOTE: The Identiey document peesentsdleydie third party must ue Identical to the one declared on the power of attomey by the appllcant 4 case of de nice wih the: proceture, the VIS Center or the exterast satin Provider reserves the right t nathend! ops wl tform the aplicant. ‘Appllcetion No France-Visos (ex: rasncnitscit)2 Applicant ‘ust name: Pate: Ast name. lo: Date of bieth Signature Passport nuenver Contact number Third party Last name. pate: First name: To: Signature Gate of birth: Passport number (optfonalls Contact nurnber: Passport(s) handover: Return envelope No pFeturted Of aye IM document corresponds to the power of attomey, , to the below assigned third party whose identity Signature of the third party Stamp by VFS