Letter for Authorization for new membership – DOP

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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 authorize deduction of monthly subscription of Rs.__________ per month from my salary starting from the month of May 2017 payable on 31.05.2017 and authorize its payment to the above mentioned service Association.
       
     I hereby certify that I have not submitted authorization in favour on my 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 

Divisional Head’s Attestation

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