Authorization Letter - sample
Jaipur, 13/11/2026
From:
Ramesh Kumar Sharma
House no., street, area, city
Mobile: 98XXXXXX10
To,
The Branch Manager, bank name, city
Subject: Authorization letter - permission to collect my new cheque book for account no. XXXX5678
Sir / Madam,
I, Ramesh Kumar Sharma, holder of PAN ABCDE1234F, resident of the address given above, write to authorise the person named below to act on my behalf in the matter described in this letter.
Details of the authorised person
| Name | Suresh Kumar Sharma |
|---|---|
| Relation to me | my brother |
| Address | 12, Gandhi Nagar, Jaipur |
| Mobile | 98XXXXXX45 |
| ID proof | Aadhaar ending 4321 |
Purpose and scope of the authority
1. I hereby authorise Suresh Kumar Sharma (my brother) to collect my new cheque book for account no. XXXX5678 on my behalf and in my name.
2. I am unable to do this myself because I am out of station. I therefore request you to treat the authorised person as my representative for this limited purpose.
3. The authorised person may submit and receive papers, sign the receipt or acknowledgement that is needed to complete this one task, and answer the queries you may have in connection with it.
4. This authority does not extend to the following: to change any account details, to close the account or to sign any loan or new-product form. This authority is limited to the task in paragraph 1 and does not include any other transaction, and it cannot be passed on by the authorised person to anyone else.
5. This authorization is valid up to 13/11/2026 or until the task is completed, whichever is earlier, unless I withdraw it earlier in writing.
Identification and undertaking
6. A self-attested photocopy of my ID proof and of the ID proof of the authorised person is enclosed. The original ID of the authorised person will be shown for verification at the time of the visit, and his / her signature below is the specimen signature for your records.
7. I confirm that I am aware of this request, that it is made by me voluntarily, and that I shall be responsible for what the authorised person lawfully does under this letter. I request you to extend your full cooperation.
8. If you need any confirmation, please contact me on 98XXXXXX10. I shall be grateful for your kind help.
9. I may withdraw this authority at any time by writing to you, and it ends automatically on my death or if I become unable to act. Any act of the authorised person after you have received my written withdrawal will not bind me.
10. I request you to keep the copies of the ID proofs only for this transaction and not to use them for any other purpose, and to hand over to the authorised person only what relates to the task named in paragraph 1.
Thanking you,
Yours faithfully,
Ramesh Kumar Sharma
Signature: ______________________
| Specimen signature of the authorised person ______________________ Suresh Kumar Sharma | Enclosures 1. Self-attested copy of my ID proof 2. Self-attested copy of the ID proof of Suresh Kumar Sharma 3. Any other document needed for the task |