Vfs Global Request Form – Fill Out and Use This PDF

VFS GLOBAL Services	Courier & SMS Request Form
	Date:
	_______________

COURIER /SMS REQUEST (To be filled by applicant in BLOCK LETTERS)

*Important Note: These are optional services and charges are INR 300 per courier (INR 510 per courier for application submitted in Cochin) and INR 81 per SMS.

1.Please fill in the following details:-

Passport Number (s): ……………………………………………………………………………………………………………………

Applicant Name (s): …………………………………………………………………………………………………………………….

2.Address*required for courier delivery of Passport(s): * Please reconfirm the details with the officer.

Flat Number &

Floor:

Building Name &

Wing:

Street Name:

Landmark:

Area/City:

State:

Pin Code:

3.In case of Non Serviceable Location, I agree to collect the above mentioned passport(s) from the below mentioned BLUE DART (HAL) Location: __________________________

SO Done By/Date _______________________DO Done By/Date ____________________

4. SMS : YES / NO. If Yes, CONATCT NO:

I,……………………………………………….………………….. holdi g……..……………………. Passpo t Nu be (s)……………………..

, have e uested & autho ized M/s.VF“ Global VF“ Global to se d / delive y --------------------- (set out

the document/s) by third party courier on my behalf. I agree not to hold VFS Global responsible for any liabilities, claims or other consequences including expenses arising out of any loss, temporary misplacement of the document/s, delay or damage to the document/s. I agree that my claim arising out of any of the above shall be restricted to what the courier company pays / delivers to VFS if any of the above events occur. I confirm and agree that this constitutes a genuine pre-estimate of damages suffered by me.

I confirm that I have read / had the same read and understood the terms of this Declaration.

SIGNATURE:

PLACE:

F/OPS/10.b

Effective Date: 11 Nov 2013