LETTER OF AUTHORISATION - FOR NEW MEMBERS
NO.13/01/2010-SR
MINISTRY OF COMMUNICATIONS IT
DEPARTMENT OF POSTS
SR SECTION
NAME OF THE OFFICE:
LETTER OF AUTHORISATION
To,
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Designation of Divisional Head
I, _______________________ (Name & Designation) being a member of __________________________ (Name of Service Association) hereby authorize deduction of monthly subscription of Rs.__________ per month from my salary starting from the month of May 2017 payable on 31.05.2017 and authorize its payment to the above mentioned service Association.
I hereby certify that I have not submitted authorization in favour on my other service Association. If the above information is found incorrect, I fully understand that my authorization for the Association becomes invalid.
Station: Signature: ___________________
Dated : Name : __________________
Designation: _________________
To be filled by the Association
It is certified that Shri/Smt. ___________________________ is a member of __________________________________ (Name of Service Association).
It is further certified that the above authorization has been signed by Shri/Smt ____________________ in my presence.
Signature: ___________________
Name (in capital): __________________
of Authorized office bearer
Signature
Name (in capital)
of the member
Divisional Head’s Attestation
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** This form for New members only. Existing members not necessary to submit
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