Authorisation form to be submitted in the month of April 2011( For new member & the members comming from other Union.

All Divisional Secretaries are requested to exert their best effort for collecting Authorisation forms from the new  members/candidates & members coming from other sister union. The prescribed form is attached herewith.

                                                                Annexure –II
                                          
                                                       Department of Posts, India

Name of the office ..................................................................

LETTER OF AUTHORISATION

To

_______________________

_______________________

Designation of D.D.O. 

              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 July 2011 payable on 31/07/2011 and authorize its payment to the above mentioned service Association.

             I hereby certify that I have not submitted authorization in favour 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_____________________

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 _________________