Authorization

Authorization

To whomsoever it may concern

I,……………………………………………………………………………,D/o/s/o……………………………………….…………………………., address:……………………………………………………………. having Flat No………………….. in Raj Retreat Apartments, Defence Colony, Bhopura, Sahibabad, Ghaziabad, UP-201 005 hereby authorize Sh./Smt./Ms……………………………………, S/o/D/o …………………………………………………….  Whose signature is attested below to caste vote on my behalf in General elections for Executive Committee of RRRWA, scheduled to take place on 19/01/2014.*

Signature of the authorized person:

Name:

Mobile No.                                                                                (Signature of Flat-owner/Renter with date)

*If any person is found to have presented a false authorization, same shall be immediately reported to nearest Police Station and actions u/s 420 of IPC may be initiated against him.