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AUTHORIZATION LETTER


I (full name) ____________________________________________________________
gotra________________________ Relation(Eg. Son of)_________________________
(deceased's name)_______________________________ gotra __________________
hereby declare that Shri / Smt. (deceased's name)____________________________
has expired at time________:______:_________ on date________/______/________
at place_________________________ . The crimination has been performed by us at
time_________:___________:___________ on date________/________/_________at
place______________________________________.


I, hereby, authorize Kashi Moksha Inc.., Varanasi (INDIA) to perform Asthi
Visarjan rituals at ________________________ (place) on my behalf.


I also declare that the information provided by me to Kashi Moksha Inc, is
true to the best of my knowledge.


Date :
Place :

 

Signature


 

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