Contract No#W-0111860900

Skilled Indenpendent Regional Visa

Contract of Engagement
(AUSTRALIA)

Office Copy

GSBC /SWCFA/OCT2011

Global Strategic Business Consultancy

Head Office: FZCO, Office No. 315-316, West Wing-3, Dubai Airport Free Zone, Dubai (UAE) Tel.: 00971-4-299-5903 Fax: 00971-4-299-5905 E-mail: info@gsbcc.ae

Contract of Engagement
(Skilled Indenpendent Regional Visa category) Sr. No. W-0111860900 Payment Plan IND-BSP-SIR Mode of Payment

(COVER PAGE)

Cheque/DD Global Strategic Business Consultancy Payable at New York Credit Card/Debit Card Online/Wire Transfer
Bank Name A/c No. Swift Code Address ABN AMRO 02-26-44-997 USD-ABNAUS33 ABN AMRO Khalid Bin Walid Road PB NO. 2567, Dubai, UAE

Client acknowledges & understands that the company does not accept CASH payment. (Signature of the Client) For Office Use Only Client's FSN _________ Payment Plan IND-BSP-SIR DRR Date ________ Cheque/DDNo. ________ Date __________ Bank Name __________Discount (if any) ____________
Payment stages
1. 2. 3. 4. 5. 6. Spot Payment I - Payable at the time of Case Filing / Skill assessment with the respective skill assessment body or within 30 days from the date of signing this agreement whichever is earlier. ____________ ____________ ____________ ____________ ____________ ALL GOVT. TAXES (if any applicable ) WILL BE CHARGED EXTRA

Amount
US$ 850 ____________ ____________ ____________ ____________ N.A.

Clients Signature _________________

Page 2 of 14

Global Strategic Business Consultancy

FZCO. Office No. 315-316, West Wing-3, Dubai Airport Free Zone, Dubai (UAE) Tel.: 00971-4-299-5903, Fax: 00971-4-299-5905 E-mail: info@gsbcc.ae

Application #W-0111860900/C12-916788

CONTRACT OF ENGAGEMENT
(Skilled Indenpendent Regional Visa Category)
Clients Signature ______________________

This Contract of Engagement is being executed on 1/Nov/2012 BETWEEN NAME: Abhilash P Paul SON / DAUGHTER of ADDRESS (Correspondence) Puthiyedath house,thenipalam P.O,Malapuram(Permanent) Puthiyedath house,thenipalam P.O,MalapuramTEL. /FAX (Residence) 9744093095 (Office) _________ MOBILE: 8281394270 DATE OF BIRTH: 30-May-1985 E-MAIL: abhilashppaul@gmail.com
Note:- The client acknowledges and agrees that the company would keep him/her updated telephonically (Including text message) and through e-mails on his/her above mentioned mobile numbers and e-mail ids regarding the case status and all other relevant news/articles & promotional material concerning immigration

Relative 1 Address: ______________ Relative 2 Address: ______________ Relative 3 Address: ______________

Ph. No. ____________ Ph. No. ____________ Ph. No. ____________

On the first part (hereinafter referred to as the Client) AND Global Strategic Business Consultancy (GSBC) FZCO, Office No. 315-316, West Wing 3, Dubai Airport Free Zone, Dubai (UAE) On the second part (hereinafter referred to as the Company ) WHEREAS the Client has retained the services of the Company for receiving professional services with respect to preparation, submission and processsing of immigration case (application for grant of permanent resident visa) on behalf of the client him / her self and his / her dependant family members accompanying the principal applicant (client) under

Skilled Indenpendent Regional Visa .

.

Both the parties have agreed to enter into this Contract on the following terms and conditions: 1. Duties of the Company: In consultation with its associates at various locations the Company shall provide the following services to its clients: a) b) Assess the client according to the information provided by the client in his assessment form. Assist the client in preparation of his/her immigration case;

Clients Signature _________________

Page 3 of 14

c) d)

Review and identify submission of required documents and supporting evidences; Submit the complete case with supporting documentation and evidence along with the submission report to the respective Skill Assessment Body /State or Territory Authorities/ Processing Visa Office on the receipt of all requisite documents from the client. Handle all correspondence with the respective Skill Assesssment Body/ State or Territory Authorities/ Visa Office pertaining to client's case; Intimate the requirements sent by Skill Assesssment Body / State or Territory Authorities/ Processing Visa office during the progress of the immigration case. Assist the client in keeping his / her file up to date; Advice the client about any subsequent changes in the immigration laws and any subsequent conditions applicable to meet the selection criteria.

e) f)

g) h)

2.

Duties of the Client: The Client shall: a) b) Submit the complete case filing documents with the Company within 30 days from the date of signing of this agreement; Ensure the educational institutions from which the client has attained his/her education are duly recognized by the government of the country where the institution is located. Provide all information truthfully in writing requested by the Company and the processing visa office as per Company's instructions. The client shall solely be responsible for all the consequences for submission of false information or documents; Execute forms as required and produce all documents and information that may be necessary for the processing of the case; Forthwith provide all the supporting documentation and other evidence as required by the Company and shall provide only such documents which are legal, valid and genuine especially the documents pertaining to but not limited to educational qualifications, work experience and financial statements. Any discrepancies in the above may seriously affect the Immigration case of the client. Submit all the documents within the time limitation prescribed by the Company. The client shall be held responsible for any adverse effect on the immigration case because of non-submission/ delayed submission of required documents and other evidence; Submit any additional information and documentation asked by the processing visa office, to the company minimum 30 days prior to the date on which information and documents are required to reach the Visa Office. Truthfully disclose to the Company, that he/she as well as accompanying dependents were never convicted of any criminal charge and no criminal case is pending against him/her self as well as accompanying dependents; Forthwith intimate the Company of all communications received from the Skill Assessment Body / State or Territory Authorities/ processing Visa Office; Provide the Company with any change relating to address, education, training, status, job responsibilities, skills, marital status, criminal charges or any other information or circumstances which may affect his / her case. In case the client fails to keep in touch with the Co. or update the Co with his/her changed address/ contact details due to which the necessary information/ documents could not be transmitted to the client, he/she shall , thereafter, not be entitled to claim any refund from the Co. Indulge in any change in the nature of the current job or profession only with the prior approval of the Company so that the change in job profile does not have adverse effect on the case;

c)

d) e)

f)

g)

h)

i) j)

k)

Clients Signature _________________

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l)

Attend all calls as and when given by the Skill Assesssment Body/ State or Territory Authorities /processing Visa office and promptly follow all instructions as communicated by the Skill Assesssment Body / State or Territory Authorities /processing Visa Office, but only with consent and approval of the Company; Further, it is the duty of the client to withstand all the background checks conducted by the Immigration Authorities failing which the Co. shall not be under any liability to refund any fee to the client. Attend technical interview where ever applicable as and when scheduled by the Skill Assessment Body; In case the client fails to attend the scheduled interview for any reason what so ever, he/she shall not be entitled to claim any refund from the Company thereafter and at the same time, the claim of the Company with regard to the due payments remains unaffected. Undergo medical examination for self as well as for the dependent family members, as and when scheduled by the Visa Authority within the time prescribed by the Authorities. In case of any omission by the client, he / she is not entitled to claim any refund from the Company and shall also be liable to remit all the dues pending towards the Company's Professional services. Establish high proficiency in English by scoring the requisite bands in IELTS / OET or any other test as laid down by the Immigration Authorities subject to change from time to time, in order to qualify under the programme; Company shall not be held responsible in case the application is rejected due to insufficient score or non submission of IELTS / OET test and the client shall not be entitled to claim any refund from the Company and at the same time shall be under the liability to remit the pending dues towards the professional services provided by the Company. Acquire information, knowledge, education and skills including computer skills as advised by the Company and its associates for clearing immigration process; Demonstrate possession of sufficient settlement funds, in accordance with the requirements of the respective Visa Authority; Pay the visa processing fees as levied by the processing Visa Authority in accordance with the immigration laws. The Client shall solely be responsible for any adverse effect on the case due to delay / non-payment / shortpayment of visa processing fee to Immigration Authorities. Any change in the Visa Processing Fee, or any other fees levied by the Immigration Authority, from time to time, would be borne by the Client; Since the Skill Assessment fees / Sponsorhip fees/ VPF is paid to the Immigration Authorities, the client shall not seek refund of the said fee from the Company. Pay the charges for assessment of skills as required by Skill Assessment Bodies. The charges shall vary from one body to another. The Client shall solely be responsible for any adverse effect on the case due to delay / nonpayment / short-payment of the charges; Make necessary arrangements for travel to Australia after grant of the visa. In case of certain professions visit to Australia for clearance of certain exams is required for which client has to make necessary arrangements for visitor visa travel & accomodation in Australia. The Company shall not be responsible for making any such arrangements for the client or his / her dependent family members; Make own arrangements for transfer of funds & investment in Australia. The company shall not provide any sort of help or assistance in this regard; The Client agrees that he / she shall correspond with the respective Visa Authorities through the Company only and that he / she shall not change the correspondence address without seeking prior approval of the Company. A penalty of 30% of the retainer fee shall be charged if the Client is found to be dealing directly or through any other representative at any address other than that of the Company. Besides, the Company shall be at liberty to take appropriate legal action against the Client to recover any unpaid amount if any out of the total fee. In the event of rejection of the application as a result of discrepancies caused due to direct dealing by the client, client shall be solely responsible for that and shall not be entitled to any refund thereafter.

m)

n)

o)

p)

q) r)

s)

t)

u) v)

Clients Signature _________________

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3.

Fees of the Company: a) In consideration of the Company's professional services, For IND-BSP-SIR , the client undertakes to pay a total fee of US$ 850 (US$ Eight Hundred Fifty Only), payable as follows:
Payment stages Amount
US$ 850 ____________ ____________ ____________ ____________ N.A.

1. 2. 3. 4. 5. 6.

Spot Payment I - Payable at the time of Case Filing / Skill assessment with the respective skill assessment body or within 30 days from the date of signing this agreement whichever is earlier. ____________ ____________ ____________ ____________ ____________

b)

_____NA_______ payable at the time of signing this agreement. The amount of ______NA______ has been paid favouring Global Strategic Business Consultancy Payable at New York.

Note i Services will be provided only after receipt of complete payment at this stage. ii iii There is no installment plan under Bronze Package Company only acepts the payments through Demand Draft/Cheque/Credit Card/Debit Card/Wire Transfer. NO CASH IS ACCEPTABLE. All cash payments shall be at the risk of the client and company would not be responsible in any case if the cash payment made by the client to anyone including a company employee or staff member does not get credited in the company account for any reasons whatsoever. iv) All government taxes and Levis (including service tax) will be charged extra as applicable in addition to the fee charged by the company. v) If there is any change made by the Government to the taxes to be levied, the client will be responsible to pay the taxes accordingly on the fee due towards the company. 4. Acknowledgement: a) The client further acknowledges & understands that if he / she is unable to clear the dues within 07 days from the date of the amount falling due then the interest @ 1.5% Per month on due amount would be imposed. The client further undertakes that he/she would not issue instructions to his/her banker not to honor the cheque /demand draft issued by him / her in favor of the Company. The client further acknowledges & understands that cheque bouncing charges shall be applicable as per the company policy. Client further understand & acknowledges that if upfront professional fee is not received in 5 working days from the date of retaining the services of the company, the payment plan will automatically change to SPOT payment plan offered by the company & client has to clear the payment as per SPOT payment plan, which has been explained to the client as per the Company Policy. Clients Signature _________________ Page 6 of 14

b)

c) d)

e) The client further acknowledges & understands that the Total Fee charged by the Company is towards preperation and filing of his/her immigration case. The total fee to be paid by the client becomes due once the he/she retains the services of the Company, irespective of the stage at which the client shall pay the same, as the payment may be made by the client on the basis of payment plan selected by the him/her.

5.

All above payments are required to be remitted in the form of a Demand Draft/Cheque favoring the company. Formal receipts of the payments received shall be issued by the Head Office of the Company. In case of any disputes, the receipt issued by the Head Office of the Company shall only be considered valid and true. Company does not accept cash and all cash payments shall be at the risk of the client and Company would not be responsible in any case if cash payments made by the client to any one including a company employee or staff member is not credited in to companys account for any reason whatsoever.

6.

If the Client does not clear the outstanding dues to the company, it shall be considered as breach of the agreement. In case the payment is not made in accordance with the terms and conditions of this contract of engagement, the Company shall have the right to stop providing services to the Client If for any reason whatsoever, the Client becomes disinterested in pursuing his/her application for permanent immigration or withdraws his / her case, then in such case the Company shall be entitled to full payment of fee for the services provided. Fee charged by Immigration Authorities: In addition to the fee of the Company, the Client agrees and undertakes to pay the Visa processing fee,Skill Assessment Fee or any other fee levied by the Immigration Authorities in accordance with the current immigration regulations of Australia. Since the VPF/other fees is paid to the Immigration Authorities, the client shall not seek refund of the said fee from the Company. The Client shall solely be responsible for any adverse effect on the case due to delay / non-payment / short-payment of visa processing fee to Immigration Authorities. Any additional burden on account of change in the Visa Processing Fee, or any other fees levied by the Immigration Authority, from time to time, would be borne by the Client. Further, the above said processing fee is non-refundable as per the current rules of the Immigration Authorities.

7.

8.

Other Terms and Conditions: i) The Company shall not assist the Client in following work directly or indirectly: a) In passport work (of any type). b) In procuring Educational/Experience Certificates. c) Other documents and evidence required for the Immigration Case. ii) iii) The Company shall not be responsible for any loss of documents in transit. All the documents submitted by the client for onward submission to the Visa Office and or any other processing office are believed to be genuine and would be forwarded to concerned Authorities in Good faith and believing it to be true and genuine. The Company shall not be held responsible for wrong assessment in case the client doesn't disclose the fact initially that his/ her education is from a non recognized institution.

iv)

9.

On receiving the required case filing documents from the Client, the Company and its associates shall make all efforts and its honest endeavor to file the immigration case at the earliest, with the immigration authorities. However, the Company and its associates shall not be responsible for any delay whatsoever occurring in the formal processing of the case due to backlog of cases or for any other reason at the Visa Post. Thus, time shall not be the essence of this contract. Re-filing : Incase of Refiling, the client shall pay company policy fresh / additional Fees as per

10

Clients Signature _________________

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11.

Refund:

I. The service provided by the Company being professional in nature, the entire fee is non-refundable. II. However, if the client is declared disqualified in skill assessment for Australia by the respective Skill Assessment body then company undertakes to refund the full amount if paid by the client as per this agreement. III. If the client is declared qualified in skill assessment for Australia by the respective Skill Assessment body then nothing is refundable.IV. Since VPF and Skill Assessment Fee is being paid to the processing Visa Office & Skill Assessment Body respectively, refund of same shall not be claimed from the Company.V. Taxes (if any) paid shall not be refundable.VI. In case the client has been given any discount on the fee payable to the company the same would be deducted from any amount refunded to the client.
12. a) i. ii. iii. The Company will not refund any of the total fees and shall be entitled to full payment if: Once the client signs this contract and then he/she does not wish to proceed further for any reason what so ever. The client voluntarily withdraws the immigration case at any stage. The client fails to complete the immigration process by non-appearance in interview if scheduled and/or by not undergoing the medical instructions or re medical instructions or by any other ways. The client does not co-operate towards completion of this agreement in any manner. The client does not acquire information, knowledge, education and skills including computer skills as per the advice of the company. The client does not acquire proficiency in English language and does not attain sufficient score in IELTS and/or OET, as advised by the company. To clear IELTS/OET with required bands/grade is one of the primary duties of the client. In case of failure to acquire required bands/grade the client would not be entitled to any refund. The case gets rejected after the client corresponds or communicates directly with the Visa Office or Skill Assessment Body without written consent of the company and its associates. The client does not submit the documents required by the Visa Office or respective authority and advised by the Company for processing of the immigration case within the time prescribed by the Respective Authority or as advised by the Company. The client breaches all or any of the terms of this agreement by providing false information, fake documents and/or commits any other sort of fraud or misrepresentation or by any other means. The case gets rejected due to the reason that the client could not withstand all the background checks conducted by the Immigration Authorities. The client does not perform his part of Contract i.e. in case he omits to perform any of his duties enshrined in this Contract. If it becomes impossible to meet the objective of the agreement due to reasons like client having medical problems, having civil/criminal charges, national security reasons of Australia, changes in immigration rules and/or any other reasons. The Judicial Review cannot be filed or after filing cannot be processed due to client's non-compliance with the relevant clause of this agreement. In case the client does not submit documents required for case filing within 30 days from retaining the services, and in the meantime the Immigration Authorities change the laws and /or policies, the Company shall not be under Page 8 of 14

iv. v. vi.

vii.

viii.

ix.

x. xi. xii.

xiii. b)

Clients Signature _________________

any liability to refund the fee paid by the client. However, the Client is expected to cooperate till the Company takes up measures to remove the hindrance or resolve the crisis. c) The client is expected to disclose complete information about himself/herself and dependants in the assessment form truly and correctly at the time of retaining services of the Co. so that he/she may be assessed correctly. If at a later stage, the client comes up with some different information whereby he/she becomes disqualified, he/she shall not be entitled to claim any refund from the company. The company will not refund the fee paid by the client in case of physical or mental unsoundness or in case of death.

d) 13.

Judicial Review In the event of refusal of application by the respective DIAC, if the Company in its considered view is satisfied that the decision of DIAC is arbitrary or unreasonable, it may file a petition of Judicial Review in the High Court of Australia with the prior written consent of the client and upon the payment of requisite fee of the lawyer/Attorney in Australia. In case the client assents to filing of the Judicial Review, he/ she shall a) b) c) Provide all information in writing as required by the Company; Execute forms and furnish all documents and information that may be necessary for processing of the Judicial Review; Provide all supporting documentation and other evidence as and when required and shall only provide such documents which are legal, valid and genuine especially in respect to but not limited to Educational Qualifications and Experience. The client would solely be responsible for any adverse effect on the Judicial Review application on account of non-submission/delayed submission of required documents and other evidence; Provide the Company with any change in information relating to address, education, training, business status, job responsibilities, marital status, or any other information or circumstances which may affect his / her case. The client will be required to pay necessary legal expenses for filing the application for Judicial Review. However if the case on Judicial Review is lost due to any reason then the client will not be entitled to any refund.

d)

e)

14

The client hereby authorizes the company to verify any information from his office and / or his residence and with his employer, financial institution, credit bureau or any other third party and that the client shall authorize such of his / her employer, company or bank or financial institutions, credit bureau or any third party to disclose such information or details as may be required by the company. The client hereby authorizes the Company to disclose from time to time any information related to the client's immigration application (including any default in payments) to any other applicant, credit bureau, financial institutions and associates of the company and to the third party whether or not engaged by the company for purposes such as marketing of services, proper operation of immigration application, recovery of overdue amounts and/or other administrative services The authority of the Company to act on the Client's behalf shall include all of Client's family members included in the application and provisions of this Agreement shall be applicable to other family members of the Client as well. This contract shall consist of two duly executed copies each of which shall be equally valid, one of which shall be kept by each of the parties hereto. Support to the Client: The Client would be provided with specialized services by a team of professionals having vast experience and exposure in their relevant fields.

15.

16. 17.

18.

Arbitration: All differences and disputes between the parties hereto on any clause or matter herein contained, their respective rights, claims, liabilities, howsoever in relation to or arising out of this agreement shall be referred to the sole arbitration of the arbitrator appointed by the Company or any other person approved by the company,

Clients Signature _________________

Page 9 of 14

whose award shall be final and binding on both the parties. The venue of Arbitration proceedings shall be at Dubai. It is further specifically agreed upon by the Client that he/ she foregoes his/her rights to initiate any legal proceedings against the Company at any place except Dubai and the jurisdiction at all other places is thus hereby excluded. However the Company shall have exclusive rights to initiate any other legal action as it may deem fit in order to recover its over due fee, if any, from the Client. 19. Conclusion: This agreement shall be deemed to be concluded/ terminated upon performance of contract/disinterest / Non- cooperation and / or death of the Client and under such circumstances, the Company shall be entitled to retain the complete fee paid by the client.

20.

Consent: Both the parties have properly read and understood the contents of the contract of Engagement and append the respective signatures of their free will and without any misrepresentation, coercion, undue influence or importunity on the part of either party. The parties further render their consent and undertake to abide by the terms of the contract in its totality.

This contract of engagement is executed between the parties named herein above who have put their signatures herein below. Client's Signatures:__________________________________________ Name: Abhilash P Paul Date : 1/Nov/2012

Authorised Signatory: ______________________________________ For Global Strategic Business Consultancy

Name:

Soman Manikot

Date :

1/Nov/2012

Witness 1:_________________________________________________

Witness 2:_________________________________________________

Clients Signature _________________

Page 10 of 14

Declaration form
I, Abhilash P Paul s/o/, d/o, w/o _____________________________________ resident of___________ _______________________________________ do hereby confirm & acknowledge that I have clearly understood the terms & conditions of the agreement that I have signed with the Company, including the package & payment plan that I have opted for and I agree to pay the fee of the company as per the package & payment plan. I will make the payment either by cheque, Demand Draft, Wire transfer, Credit Card or Debit Card. I understand and acknowledge that the company does not accept cash and I agree not to make payment in cash for payment of the fee charged by the company or for Visa Processing Fee or any other type of fee as per the agreement that I have signed with the company. I also acknowledge and agree that in case:1. I make payment by cheque the cheque has to be from my account only and not from account belonging to anyone else. 2. I make payment by Demand Draft the Demand Draft has to be drawn from my account only and not from account belonging to anyone else. 3. I make payment by Credit Card the Credit Card has to be in my name and not in the name of anyone else. 4. I make payment by Debit Card the Debit Card has to be mine and not of anyone else. 5. I make payment by Wire Transfer the Wire Transfer would originate from my account and not from account belonging to anyone else. I fully understand and agree that in case I do not make the payment as per the terms stated above the payment will not be considered to have been made for which I will take full responsibility & I will not hold the Company responsible for anything. Moreover I will have to make the payment again as per the above-mentioned terms. Clients Name ____________________________ Client's Signature ______________________ Date_____________________ Witness Name_____________________ Witness Signature: ____________________ Date______________________

Clients Signature _________________

Page 11 of 14

To be filled for payment to M/s GSBC, Dubai (U.A.E.)

To M/s Global Strategic Business Consultancy, FZCO, Office No. 315-316, West Wing 3, Dubai Airport Fee Zone, Dubai (U.A.E.)

CREDIT CARD AUTHORIZATION FORM

Client's Name: Abhilash P Paul Reference Client File No.: C12-916788 I, being a client of the Company, wish to submit that:
I have authorized Global Strategic Business Consultancy, to charge the below mentioned amount, to my credit card towards their fees regarding my immigration case. I further acknowledge that I have understood the Contract of Engagement signed with Global Strategic Business Consultancy and hereby accept all terms and conditions of the Contract of Engagements. I have understood that the authority to charge my credit card is final and irrevocable as per the Contract of Engagement signed by me with Global Strategic Business Consultancy. I also confirm that I will not raise any dispute with regard to the transaction under approval code No. ____________ I acknowledge that my signature / Cardholder's signature on this form will be valid forany future charges that I have agreed as per the payment plan on the Contract of Engagement executed by me. I agree & accept the payment plan in the Contract of Engagement & terms of payment thereof. I further undertake that the particulars of my credit card are correct in all respects. I further agree to bear all bank charges levied on account of bank's services or due to exchange fluctuations.

You are requested to debit the below mentioned amount to my card: Payment on a/c of : _________________________________________________ Fee upto : AED _______________________ (AED _______________________) The details of my card are given herein below:
Visa Card / Master Card (Please circle)

Card Number ______________________________ Amount AED_____________________________ Card Expiry Date (MM/YY)____________________ CVV Value _______________________________ Card Issuer Bank ___________________________ Type of Card ____________________________ Name of Card Holder as Printed on the Card _____________________________________________ Address of Card Holder ______________________________________________________________ Telephone No. of CH ___________________ __Mother's Maiden Name of CH __________________ _______________________________________
Full Signature of Card Holder as it appears on the Card

________________________________
Full signature of the Client

Date of Birth ____________________

Date of Birth _____________________

Notes : 1. 2. 3. 4. Please attach the photocopies of both sides of the credit card for verification of name and signature. Please attach a copy of an Identity proof of the client (and the card holder if the card belongs to a third person). The ID proof must carry photograph, signature and address of the person. If Card Holder and Client are two different persons, then both should sign the Credit Card Authorisation Form. If Card Holder and Client are the same person, then the Client should sign the Credit Card Authorisation Form at both the places.

Clients Signature _________________

Page 12 of 14

Witness __________________

Clients Signature ______________________

To be filled for payment to M/s GSBC, Dubai (U.A.E.)

To M/s Global Strategic Business Consultancy, FZCO, Office No. 315-316, West Wing 3, Dubai Airport Fee Zone, Dubai (U.A.E.)

CREDIT CARD AUTHORIZATION FORM

Client's Name: Abhilash P Paul Reference Client File No.: C12-916788 I, being a client of the Company, wish to submit that:
I have authorized Global Strategic Business Consultancy, to charge the below mentioned amount, to my credit card towards their fees regarding my immigration case. I further acknowledge that I have understood the Contract of Engagement signed with Global Strategic Business Consultancy and hereby accept all terms and conditions of the Contract of Engagements. I have understood that the authority to charge my credit card is final and irrevocable as per the Contract of Engagement signed by me with Global Strategic Business Consultancy. I also confirm that I will not raise any dispute with regard to the transaction under approval code No. ____________ I acknowledge that my signature / Cardholder's signature on this form will be valid forany future charges that I have agreed as per the payment plan on the Contract of Engagement executed by me. I agree & accept the payment plan in the Contract of Engagement & terms of payment thereof. I further undertake that the particulars of my credit card are correct in all respects. I further agree to bear all bank charges levied on account of bank's services or due to exchange fluctuations.

You are requested to debit the below mentioned amount to my card: Payment on a/c of : _________________________________________________ Fee upto : AED _______________________ (AED _______________________) The details of my card are given herein below:
Visa Card / Master Card (Please circle)

Card Number ______________________________ Amount AED_____________________________ Card Expiry Date (MM/YY)____________________ CVV Value _______________________________ Card Issuer Bank ___________________________ Type of Card ____________________________ Name of Card Holder as Printed on the Card _____________________________________________ Address of Card Holder ______________________________________________________________ Telephone No. of CH ___________________ __Mother's Maiden Name of CH __________________ _______________________________________
Full Signature of Card Holder as it appears on the Card

________________________________
Full signature of the Client

Date of Birth ____________________

Date of Birth _____________________

Notes : 1. 2. 3. 4. Please attach the photocopies of both sides of the credit card for verification of name and signature. Please attach a copy of an Identity proof of the client (and the card holder if the card belongs to a third person). The ID proof must carry photograph, signature and address of the person. If Card Holder and Client are two different persons, then both should sign the Credit Card Authorisation Form. If Card Holder and Client are the same person, then the Client should sign the Credit Card Authorisation Form at both the places.

Clients Signature _________________

Page 13 of 14

Witness __________________

Clients Signature ______________________

To be filled for payment to M/s GSBC, Dubai (U.A.E.)

To M/s Global Strategic Business Consultancy, FZCO, Office No. 315-316, West Wing 3, Dubai Airport Fee Zone, Dubai (U.A.E.)

CREDIT CARD AUTHORIZATION FORM

Client's Name: Abhilash P Paul Reference Client File No.: C12-916788 I, being a client of the Company, wish to submit that:
I have authorized Global Strategic Business Consultancy, to charge the below mentioned amount, to my credit card towards their fees regarding my immigration case. I further acknowledge that I have understood the Contract of Engagement signed with Global Strategic Business Consultancy and hereby accept all terms and conditions of the Contract of Engagements. I have understood that the authority to charge my credit card is final and irrevocable as per the Contract of Engagement signed by me with Global Strategic Business Consultancy. I also confirm that I will not raise any dispute with regard to the transaction under approval code No. ____________ I acknowledge that my signature / Cardholder's signature on this form will be valid forany future charges that I have agreed as per the payment plan on the Contract of Engagement executed by me. I agree & accept the payment plan in the Contract of Engagement & terms of payment thereof. I further undertake that the particulars of my credit card are correct in all respects. I further agree to bear all bank charges levied on account of bank's services or due to exchange fluctuations.

You are requested to debit the below mentioned amount to my card: Payment on a/c of : _________________________________________________ Fee upto : AED _______________________ (AED _______________________) The details of my card are given herein below:
Visa Card / Master Card (Please circle)

Card Number ______________________________ Amount AED_____________________________ Card Expiry Date (MM/YY)____________________ CVV Value _______________________________ Card Issuer Bank ___________________________ Type of Card ____________________________ Name of Card Holder as Printed on the Card _____________________________________________ Address of Card Holder ______________________________________________________________ Telephone No. of CH ___________________ __Mother's Maiden Name of CH __________________ _______________________________________
Full Signature of Card Holder as it appears on the Card

________________________________
Full signature of the Client

Date of Birth ____________________

Date of Birth _____________________

Notes : 1. 2. 3. 4. Please attach the photocopies of both sides of the credit card for verification of name and signature. Please attach a copy of an Identity proof of the client (and the card holder if the card belongs to a third person). The ID proof must carry photograph, signature and address of the person. If Card Holder and Client are two different persons, then both should sign the Credit Card Authorisation Form. If Card Holder and Client are the same person, then the Client should sign the Credit Card Authorisation Form at both the places.

Clients Signature _________________

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Witness __________________

Clients Signature ______________________