VFS GLOBAL Services Courier & SMS Request Form
Date: 30/04/24
COURIER/SMS REQUEST (To be filled by applicant in BLOCK LETTERS)
*Important Note: These are optional services and charges are per courier and/ or per SMS.
1. Please fill in the following details:-
Applicant Name:
First Name: H A R J E E T
Last Name: K A U R
2. Address* (To be filled in Capital Letters only) required for courier (delivery of Passport):
* Please reconfirm the details with the officer.
Flat No & Floor: Shop No 95 , W alia Encl ve Near Exce l Heal th Care Hos pital
a
Building name & G R A C E C O N S U L T A N T
Wing :
Street Name: W A L I A E N C L A V E
Landmark: E X C E L H O S P I T A L
Area P U N J A B I U N I V E R SIT Y
City P A T I A L A
State: P U N J A B
Pin Code: 1 4 7 0 0 2
3. In case of Non Serviceable Location, I agree to collect the above mentioned passport(s) from the below
mentioned BLUE DART (HAL) Location: NEAR DUKHNIWARAN SAAB GURU DWARA
SO Done By/Date DO Done By/Date
4. SMS : YES / NO.
If Yes, CONTACT NO: 8 4 2 7 8 7 1 7 4 7
I, Harjeet Kaur , have requested & authorized M/s. VFS Global (“VFS Global”) to send / deliver my decision
envelope (set out the document/s) by third party courier. 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: HARJEET KAUR PLACE: PATIALA
F/OPS/10.b Effective Date: 26 APRIL 2024