Consent Form

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.500/- 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 : _______________________________