Annexure-II
No.13/01/2010-SR
Ministry
of Communications IT.
Department of
Posts
SR Section
Name of the Office
LETTER OF AUTHORISATION
To
..........................................................
...........................................................
Designation of Divisional Head
I....................................................................
(Name & Designation) being a member
of________________________________________________________________________ _
(Name of Service Association) hereby authorise deduction of monthly
subscription of Rs. /- per month from my salary starting from the month
of July 2014 payable on 31.07.2014 and authorise its payment to the above
mentioned Service Association.
I hereby certify that I have not submitted authorisation in
favour of any other service Association. If the above information is found
incorrect, I fully understand that my authorisation for the Association becomes
invalid.
Signature
Station:- Name
Date:- Designation
........................................................................................................................................................
To be filled by the Association
It is certified that Shri/Smt ........................................................................is
a member of _______________________________________________________ (Name
of the Service Association)
It is further certified that the above authorisation has
been signed by Shri/Smt.................................................................................................................in
my presence
Signature..............................................................
Name (in
Capital)............................................ Of authorised
office bearer
Signature
Name (in capital)
Of the member
Divisional
Head’s Attestation
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