NAME
OF 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. 75/- Per month
from my salary starting from the month of July. 2020 and
authorize its payment to the above 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.
Signature
Station
Name
Date
Designation
__To be filled up 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 authorization Office bearer
Signature
Name
(in Capital)
Of
the member
Divisional Head`s Attestation