“Specimen- This draft is only to take language for
the purpose by Associate/consultant/company.”
D-52A
(on letterhead of company/associate authorizing the
person as Customer representative)
(Authorization for customer representative if person)
To whom it may concern
Certified that Shri (Name ) s/o Shri___________ Resident of________________ _______________________, whose signatures are attested below is our authorized ‘Customer Representative’ for the areas ___________________. He will get LPG cylinders against the delivery challan/invoice from our (plant/godown address or vehicle no.) in his vehicle for supply to mini retailers and customers of the company in the areas mentioned above. He will also return the empty gas cylinders in the evening to the above plant/godown/vehicle duly acknowledged by the godown keeper/vehicle driver.
1.
2.
Attested
Authorized Representative of the
company authorizing the person
(Name: )
Authorized Representative of the
company authorizing the person