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 D.D. O s
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 may 2012 payable on 31.05.2012 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
