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Letter of Authorisation Form

This letter of authorization form type would be addressed to whomsoever it may concern as for any public interest or notice to disclose the right transfer dealings in the social context. This would indicate the purpose of consent & authorization to disclose on any legal grounds etc.


Mr. Arvind Singe,

37-Daffodils Castle Mill,

LBS Road,


5th Sept’ 2010.

Subject: Letter of Authorization Form in respect of personal information.

To Whomsoever it May Concern.

I the undersigned employee of PMC Associates, in full state of consciousness & awareness, hereby authorize & consent to make the use of all the personal details provided to you and also the revelation of any information as proposed in the last notification & mentioned underneath.

Further I would like to express that I may have to revoke this authorization at any point of time by notifying as may be required in good belief. I do understand that the prerequisite of the outline of personal information may not be conditioned on my consenting of this authorization.

In compliance with in the incident of revocation of this authorization, there will be no effect on the consequences taken as per the clauses of your associate firm.

Yours Sincerely;

Signed By

(Employees Name)

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