Credit Card / International Debit Card Authorization Form
I ____________________________________________ S/o ___________________________ hereby authorize M/S Sunland Education & Immigration Consultants, SCO 260, Sector 32 D, Chandigarh to use my credit card details for the payment of ________________________________ fees for Mr/Ms/Mrs. _____________________. The details of my credit card/ International Debit Card are as below:
Card Type : Visa/ Master Card/ Mastero
Card Number : _____ / _________ /_____________ /____________
Expiry Date : ___________ / ___________ (mm/yy)
Cardholder Name : ____________________________________
CVV Number : ________ (Last 3 digit on the back side of card)
Signature of Card Holder Signature of Visa Applicant