If Any Poem by Deepak Manchanda of Delhi

State clearly here below
In block letters neatly in black
Your earned or worthy
Or given and
Last loved Name

If any

In the space provided
Paste full face photo
To be scrutinized, assessed, authorized
And stamped in purple
For permission

If any

Disclose in the checklist
As applicable
Your position, bank and affiliation
And size, shape and color
And gender

If any

In the space of a few words
Or preferably less
Request politely and with courtesy
Without prejudice - your appeal
For consideration

If any

Acknowledge gratefully
In full detail with humility
All that is done for you
By the Great Honorable
In your Life

If any


To confirm
And accept gratefully

Sign here

And provide
Duly authorized, attested with proof
Your Certificate
Of Existence

If any



© Deepak Manchanda, New Delhi
June 18,2015