Application Form for Authentication
Name of Afghan (Company, individual) _______________________________________
ID card No._____________Passport No.____________ Business License No._______
Date of Issue____________Date of Issue____________ Date of Issue______________
Date of Expiry__________ Date of Expiry___________Date of Expiry ____________
Address in Afghanistan: ____________________________________________________
Fax No.: _______________
Mobile No.: __________________
Purpose of Authentication: □ Power of Attorney
□ Agent
□ Others
If you have selected Power of Attorney, please provide us the followings:
• Copy of the Business License from Afghan side;
• Original of Power of Attorney document;
• Copy of Power of Attorney document;
• Copy of document that signed by Afghan and authorized by relevant agency;
• Copy of the passport from Afghan side.
If you have selected Agent, please provide us the followings:
• Manufacturer letter (the letter should indicate that the manufacturer has not given the same agency to others);
• Duration of the exclusive rights to agent;
• Copy of the passport from Afghan side;
• Copy of the Business License from Afghan side;
• Copy of the Contract with both parties’ signature & stamp.
If you have selected Others, please provide us information from authorized agencies along with passport (s) copy.
Number of Documents: _______________________________
Applicant’s Signature: _____________________ Date: ___________________
Remarks for Official Use Only:
_______________________________________________________________________
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