SUBSCRIPTION FORM

LETTER OF AUTHORIZATION

To

            The Drawing & Disbursing Officer

            (Office name and address)

Sir,

            I,                                                                   (Name & Designation) being a member of ALL INDIA RADIO & DOORDARSHAN STENOGRAPHERS’ ASSOCIATION hereby authorize deduction of Annual Subscription of Rs.120/-(Rupees One Hundred Twenty only) for the period from January 2019 to December 2019 from my salary of January 2019 and authorize its payment to the mentioned Service Association Saving Bank Account maintained at PUNJAB NATIONAL BANK, PARLIAMENT STREET, NEW DELHI – 110001.

          Name of the Association       AIR & DOORDARSHAN STENOGRAPHERS’ ASSOCIATION

                                                            NEW DELHI

            Bank details                            PUNJAB NATIONAL BANK

                                                            PARLIAMENT STREET

                                                            NEW DELHI – 110001.

                                                            SB A/C No. : 0153000100742054

                                                            IFSC CODE  : PUNB0015300

            I hereby certify that I have not submitted authorization in favour of any other Association.  If the above information is found incorrect, I fully understand that my authorization for the Association becomes invalid.

                                                            Signature :

                                                            Name :

                                                            Designation :

Date:                                                   Office :

Copy to:   Shri Raj Kumar Gupta, Secretary, AIR & Doordarshan Stenographers’Association, High Power Transmitter, Doordarshan, TV Tower, Pitampura, Delhi – 110034.