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Date: VFS Global Services Pvt Ltd.

Date: To, The Netherlands Visa Application Center, VFS Global Services Pvt Ltd. Dear Sirs, I_____ under/over 18 years of age SO/WO/DO. _____ provide my consent to VFS Global and its authorized Employees and Business Partners as under: I understand that in support of my Visa application made by me or through my authorized representative to your Visa Application Centre at _____ for onward submission to the Netherlands Embassy in New Delhi, VFS Global and its authorized Employees and Business Partners are collecting from me my personal data and my documents as per requirements of the Netherlands Embassy in New Delhi. I hereby give my consent to you to collect my personal data and my documents. I am aware that the information and documents are required to be forwarded to the Netherlands Embassy in New Delhi for Visa purposes.

Date: To, The Netherlands Visa Application Center, VFS Global Services Pvt Ltd. Dear Sirs, I_____ under/over 18 years of age SO/WO/DO

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Transcription of Date: VFS Global Services Pvt Ltd.

1 Date: To, The Netherlands Visa Application Center, VFS Global Services Pvt Ltd. Dear Sirs, I_____ under/over 18 years of age SO/WO/DO. _____ provide my consent to VFS Global and its authorized Employees and Business Partners as under: I understand that in support of my Visa application made by me or through my authorized representative to your Visa Application Centre at _____ for onward submission to the Netherlands Embassy in New Delhi, VFS Global and its authorized Employees and Business Partners are collecting from me my personal data and my documents as per requirements of the Netherlands Embassy in New Delhi. I hereby give my consent to you to collect my personal data and my documents. I am aware that the information and documents are required to be forwarded to the Netherlands Embassy in New Delhi for Visa purposes.

2 I have been informed that I have the option not to give the above information and documents, in which case I understand that my application will not be processed. I have also been informed that I can make corrections to any inaccurate or deficient information and that I have an option to withdraw my consent prior to paying the requisite fees. Full Name of the Applicant: Signature of the Applicant _____. Address of the Applicant: _____. _____. _____. _____.


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