AUTHORISATION FORM FOR NEW MEMBERS AND SWITCH OVER MEMBERS TO BE SUBMITTED IN THE MONTH OF APRIL 2012 TO THE D.D.O.

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 TRCA starting from the month of July 2012 payable on 31/07/2012 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 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 _________________