|
ASLASS-4 |
ASLASS-4 |
ASLASS-4 |
|||
GOVERNMENT OF INDIA |
GOVERNMENT OF INDIA | GOVERNMENT OF INDIA | |||
| A | A | A | |||
(Counterfoil to be retained in the book) |
(Coupon to be attached by the appointing authority and sent to post office) |
(Certificate of Authority for Appointment as Authorised Agent.) |
|||
| Govt. of India Small Savings Scheme |
Govt. of India Small Savings Scheme | Govt. of India Small Savings Scheme | |||
| MAHILA PRADHAN SHETRIYA BACHAT YOJNA |
MAHILA PRADHAN SHETRIYA BACHAT YOJNA |
MAHILA PRADHAN SHETRIYA BACHAT
YOJNA |
|||
| Certificate
of Authority No.------------------- |
Certificate
of Authority No.------------------------ |
Certificate of Authority Number---------------- |
|||
| Date of Certificate ------------------------- | Date of Certificate --------------------------------- | Date of Certificate ------------------------- | |||
To the Post Master of------------------------------ |
|||||
| Name and Full address of the Agent-leader/ Agent-
organisation. |
------------------------ ------------------------ ------------------------ |
Name and Full address of the Agent-leader/ Agent-
organisation. |
--------------------------- --------------------------- --------------------------- |
Name and Full address of the Agent-leader/ Agent-
organisation. |
--------------------------- ---------------------------- ---------------------------- |
| Name of the Worker ------------------- |
|
||||
| Name of the worker authorised to do work
on behalf of the Agent Organisation |
----------------------- |
Name of the worker authorised to do work
on behalf of the Agent Organisation |
-------------------------- |
Name of the worker through which the Agent
-organisation will work for its agency including issue of receipts to investors. |
-------------------------- |
| Working area for which
authorised---------- ------------------------------------ |
Working area for which
authorised----------------- ------------------------------------- |
Area of Work:-------------------------------------- | |||
Post Office to which attached:------------- |
|||||
| Coupon
forwarded to the Postmaster of ------------------on--------------- |
The Agent-leader/ Agent-organisation mentioned above has been appointed Authorised Agent under the above mentioned Agency Scheme under a certificate of Authority particulars of which are given above. The Agent-leader /authorised worker of the Agent- organisation whose specimen signature is given below will deal exclusively with your P.O. | The Agent-leader/ Agent - organisation through
its authorized workers, a Specimen of whose signature appears below has been authorised to
collect money from persons residing in the area for which he/she has been authorised and
who may be willing to invest in P.O. C.T.D. / P.O. Recurring Deposit Account. He/
She is in possession of serially numbered Receipt forms in which he/she will give receipts
for money received. He/she will obtain necessary Pass Books on behalf of the
Investor(s) from the Post Office mentioned above and deliver same to Investor(s). |
|||
| Place: | Signature and designation of the Appointing Authority. | -------------------------- -------------------------- |
Signature and Designation of
Appointing Authority |
---------------------------- ---------------------------- |
|
| Date: |
|||||
| Signature and designation of the Appointing Authority. | ------------------------ ------------------------ |
Place:---------------------- | : | ||
| Date:--------------------- |
Date:---------------------------- |
||||
| Specimen Signature of the Agent - leader/
Authorised worker of the Agent- organisation. |
Specimen Signature of Agent - leader/ Authorised worker | Specimen Signature of Agent - leader/ Authorised worker | |||