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Get British High Commission Unclassified Form

UNCLASSIFIED British High Commission New Delhi CREDIT CARD PAYMENT AUTHORISATION SLIP If you are applying for Consular Services you can pay by credit or debit card using this form. The cards we accept are Visa and Mastercard credit and debit cards. We are unable to accept Maestro cards American Express JCB or Diners Club cards. Please print this form enter your personal information and credit/debit card details as instructed and enclose it with your application* A separate authorisation slip should accompany each application* Actual fees at the time of issuance may fluctuate due to exchange rate movements. We will calculate the correct fee on your behalf* Your signature on this form indicates acceptance of these terms and authorises us to charge the actual fee to your card. You will receive a receipt showing the actual fee when your passport or other service s is returned to you. Payment type VISA Mastercard VISA Debit Mastercard Debit Card Number Issue Date Expiry Date Cardholder s Name Cardholder s Signature Date For use by Consular Section only Compass Reference Processed on / By. We are unable to accept Maestro cards American Express JCB or Diners Club cards. Please print this form enter your personal information and credit/debit card details as instructed and enclose it with your application* A separate authorisation slip should accompany each application* Actual fees at the time of issuance may fluctuate due to exchange rate movements. We will calculate the correct fee on your behalf* Your signature on this form indicates acceptance of these terms and authorises us to charge the actual fee to your card. We will calculate the correct fee on your behalf* Your signature on this form indicates acceptance of these terms and authorises us to charge the actual fee to your card. You will receive a receipt showing the actual fee when your passport or other service s is returned to you. You will receive a receipt showing the actual fee when your passport or other service s is returned to you. Payment type VISA Mastercard VISA Debit Mastercard Debit Card Number Issue Date Expiry Date Cardholder s Name Cardholder s Signature Date For use by Consular Section only Compass Reference Processed on / By. We are unable to accept Maestro cards American Express JCB or Diners Club cards. Please print this form enter your personal information and credit/debit card details as instructed and enclose it with your application* A separate authorisation slip should accompany each application* Actual fees at the time of issuance may fluctuate due to exchange rate movements. We will calculate the correct fee on your behalf* Your signature on this form indicates acceptance of these terms and authorises us to charge the actual fee to your card. You will receive a receipt showing the actual fee when your passport or other service s is returned to you. We will calculate the correct fee on your behalf* Your signature on this form indicates acceptance of these terms and authorises us to charge the actual fee to your card. You will receive a receipt showing the actual fee when your passport or other service s is returned to you. Payment type VISA Mastercard VISA Debit Mastercard Debit Card Number Issue Date Expiry Date Cardholder s Name Cardholder s Signature Date For use by Consular Section only Compass Reference Processed on / By.

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