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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