ANNEXURE IV File No. 13/1/2008-SR
DEPARTMENT OF POSTS
PRFORMA OF STATEMENT TO BE SENT BY DIVISIONAL HEAD TO HEADS OF CIRCLE/HEADS OF CIRCLES TO THE DEPARTMENT (Director SR & Le2al)
SN | Category | Total no. | Name of the applied association | Memberas |
| | of | | per check off |
| | employees | | system |
| | in the | | |
| | category | | |
1 | 2 | 3 | 4 | 5 |
1. | Gram in | | 1. All India Postal Extra Departmental | |
| Dak | | Employees Union | |
| Savaks | | 2. National Union of Gramin Dak Sewaks | |
| (GDSs) | . | 3. Bharatiya Extra Departmental Employees | |
| | | Union | |
Note :-
1. To Heads of Circle from Divisional Heads:-
It is certified that the above information in Column 5 is based on actual letters of authorization received from the concerned Gramin Dak Sevaks and deduction will be made from their pay in the month of June 2009.
Signature of Divisional Head. ____________________ _
2. To the Directorate from Heads of Circle:-
It is certified that the above information has been complied from the reports in the above performa received from all the DDOs in the Circle.
Signature of Authorized officer of the Circle _________________________ _
DEPARTMENT OF POSTS SRSECTION
NAME OF THE OFFICE
___________________________ Under order of Ministry of Communications & IT, Department of Posts vide letter No. 13j01j2008-SR
dated 17.04.2009) .
LETTER OF AUTHORISATION
To
Designation of DDO
1, ____________________________________________ (Name & Designation) being a Member
of __________________________________________________ (Name of Association of GDSs) hereby
authorize deduction of monthly subscription of Rs ___________________ per month from my TRCA
starting from the month of June 2009 payable on 30-06-2009 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:Dated:-
Name _______________________________ _
Designation ___________________________ _
To be iilled by the Association
It is certified that ShrijSmt is a Member of (Name of Association of GDS)
It is further certified that the above authorization
has been signed by ShrijSmt --------------- in my presence.
Signature __________________________ _
Name (in Capital) _____________________ _
Of authorized Office bearer ______________ _
Signature
Name (in Capital) Of the member
Scrutinv by Divisional Head
Name
Designation
Date
Windows Live Messenger. Multitasking at its finest.