DMS Visa International

Letter of Authorization

DMS Visa International 2651 Connecticut Avenue, N.W. Suite 201 Washington, DC 20008 USA << (800) 210-8472>>

This is to authorize DMS Visa International to submit, pick up, and discuss the affairs of my passport if necessary.

Please Print Full Name: ________________________________________

Date of Birth: ________________________________________

Signature: ________________________________________

US Date of Departure: ________________________________________

Country Required Visa For:________________________________________