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ANNEXURE – I

LETTER OF AUTHORIZATION

            I,                                                                       (Name & Designation) being a member of Karnataka Customs, Central Excise, Service Tax & LTU Ministerial Officers’ Association, Bengaluru, hereby authorize deduction of Annual Subscription of Rs. 600/- (Rupees Six Hundred only), from my salary and also authorize its payment to the Association.

Signature                                :                                                                      
Name & Designation             :                                                                     
Formation where working   :                                                                     

Name of Commissionerate   :                                                                      



Annexure - II
Proforma of statement to be sent by DDO to the Nodal Office for the Year 2016-17
Sl.
No.
Category
Total No. of Employees in the Category
Name of the Association
Membership as per check-off system
Remarks
1
2
3
4
5
6
1
Members of Group 'A', 'B' Gazetted & Non-Gazetted and Group 'C' Ministerial  Officers

Karnataka Customs, Central Excise, Service Tax & LTU Ministerial officer's Association, Bengaluru




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