Authorization Form



ANNEXURE-II
No. 13/01/2010-SR
Ministry of Communications & IT,
DEPARTMENT OF POSTS, INDIA
SR Section


Name of the Office: RMS ‘B’ Dn Pune- 411001.


                                    LETTER OF AUTHORIZATION

TO,

The Hon’ble Superintendent,
RMS ‘B’ Division, Pune-411001.

I, _____________________________________________________ being a member of All India RMS and MMS Employees Union Group ‘C’ hereby authorize, deduction of monthly subscription of Rs.____/- Per Month from my salary starting from the month of _________2013 payable on   /  /2013 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 : Pune
Date    :    /    /2013.   
                                                            Signature         :_______________________
                                               
                                                            Name               :_______________________
                                                           
                                                            Designation     :_______________________
……………………………………………………………………………………………..
TO BE FILLED BY THE ASSOCIATION

It is certified that Shri/Smt. ___________________________________ is a member of All India RMS and MMS Employees Union Group ‘C’.

It is further certified that the above authorization has been signed by Shri/Smt.______________________________ in my presence.

Signature __________________                                Signature ___________________
                                                                       
Name of ___________________                               Name of  ___________________
of Member                                                                  Authorized office bearer                                                                    

Divisional Head’s attestation: __________________