Annexure-II

DEPARTMENT OF POSTS

SR SECTION

NAME OF THE OFFICE_____________________________________________________under order of Ministry of Communications & IT, Department of Posts vide letter No. 13/02/2010-SR dated 05.02.2010

LETTER OF AUTHORISATION

To_______________________

________________________

Designation of Divisional Head

I, ______________________(Name & Designation) being a Member of All India Postal Employees Union-GDS(NFPE) (Name of Association of GDSs)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 Association of GDS. 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 by the Association

It is certified that Shri/Smt__________________________________is a Member of All India Postal Employees Union-GDS(NFPE) (Name of Association of GDS)

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
Posted by: AIPEDEU,Odisha Circle.