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Consent Form

To
The President Faculty Club
Jawaharlal Nehru University
New Delhi – 110067

Dear Sir / Madam
I hereby desire to enroll myself as a member of the Faculty Club ,JNU . My authorization for deduction of membership fee is given below. I understand I shall continue to be a member unless otherwise is informed to you.

Name : ________________________________

Centre : ________________________________

School : ________________________________

Telephone (R) : ___________________________

Telephone (O) :___________________________

E-mail : _________________________________

Signature : _______________________________

………………………………………………………………………………………………

To
The Finance Officer
Jawaharlal Nehru University
New Delhi – 110067

Dear Sir / Madam ,

I hereby authorize the University to deduct Rs.300/- from my salary towards the membership  fee for the Faculty Club , JNU starting from the financial year……………….. .This membership fee may be deducted from my salary every financial year unless otherwise is intimated me.

Name : ________________________________

Centre : ________________________________

School : ________________________________

Telephone (R) : ___________________________

Telephone (O) :___________________________

E-mail : _________________________________

Signature : _______________________________

 

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