Annexure-II
No.13/01/2010-SR
Ministry of Communication and Information Technology
Department of Posts
SR Section
Name of the Office:
Letter of authorization
To,
_______________________________,
_______________________________,
(Designation of Divisional Head)
I,__________________________________________________, (Name and designation) being a member of All India Postal Employees Union Group-C hereby authorize deduction of monthly subscription of Rs. _____ per month from my salary starting from the month of ____________ payable on ________________ and authorize its payment to the above mentioned service association.
I hereby certify that I have not submitted authorization in favor of any other Service Association. If the above information is found incorrect, I fully understand that my authorization for the association becomes invalid.
Station: Signature: X____________________________
Date : Name: _____________________________________
Designation:
To be filled by the association
It is certified that Shri/Smt/Kum._________________________________________________________ is a member of All India Postal Employees Union Group-C.
It is further certified that the above authorization has been signed by Shri/Smt./Kum. ______________________________________________________ in my presence.
Signature: _________________________________
Name (In capital) of
authorized office bearer__________________
Signature: X ________________
Name of the member:________________________
Divisional Head’s attestation
No.13/01/2010-SR
Ministry of Communication and Information Technology
Department of Posts
SR Section
Name of the Office:
Letter of authorization
To,
_______________________________,
_______________________________,
(Designation of Divisional Head)
I,__________________________________________________, (Name and designation) being a member of All India Postal Employees Union Group-C hereby authorize deduction of monthly subscription of Rs. _____ per month from my salary starting from the month of ____________ payable on ________________ and authorize its payment to the above mentioned service association.
I hereby certify that I have not submitted authorization in favor of any other Service Association. If the above information is found incorrect, I fully understand that my authorization for the association becomes invalid.
Station: Signature: X____________________________
Date : Name: _____________________________________
Designation:
To be filled by the association
It is certified that Shri/Smt/Kum._________________________________________________________ is a member of All India Postal Employees Union Group-C.
It is further certified that the above authorization has been signed by Shri/Smt./Kum. ______________________________________________________ in my presence.
Signature: _________________________________
Name (In capital) of
authorized office bearer__________________
Signature: X ________________
Name of the member:________________________
Divisional Head’s attestation