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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.


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Name and Full address of the Agent-leader/ Agent- organisation.


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Name and Full address of the Agent-leader/ Agent- organisation.


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Name of the Worker       -------------------                                             
                                            
Name of  the worker authorised to do work on behalf of the Agent Organisation


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Name of  the worker authorised to do work on behalf of the Agent Organisation


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Name of  the worker through which the Agent -organisation will work for its agency including issue of receipts to investors.


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Working area for which authorised----------

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Working area for which authorised-----------------

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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.
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Signature and Designation of Appointing Authority

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Date:

Signature and designation of the Appointing Authority.
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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