Annexure-II

NO. 13/01/2010 SR
MINISTRY OF COMMUNICATIONS IT
DEPARTMENT OF POSTS
SR SECTION

NAME OF THE OFFICE------------------------

LETTER OF AUTHORISATION

________________________
________________________
(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 2010 payable on 31.05.2010 and
authorize the 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 the authorization of the
said Association will become invalid.

Signature__________________

Name____________________

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 authorization has been signed by

Shri/Smt.____________________ in my presence.

Signature__________________

Name & designation

Of the service
______ Association
(Name of the applicant in capital letters)