I _______________________________________ authorize DMS visa international to process my application for US Passport, to pickup my completed passport and to discuss all matters  pertaining to the issuance of my passport with the Department of State.

 

Applicant's Signature:_____________________________

Date of Birth:________/________/________

Date of Departure:______/_______/_______

APVI, Inc acts only as an agent on behalf of the applicant. Please refer to our "Guarantee/ User agreement" which appear on the home page of our website www.apvi.net and which are incorporated by reference