iiissat + AUTHLORISATION LETTER Dated: Contractor/Propprietor/CEO/Managing Director of Mis engaged under contract/WO No, dated bby OMPA, hereby authorise the following inaividvals() for signing pass requests undertaking in verification forms and all other documents required by HR Department related to security also undertake that the ultimate responsility of documents signed by the individuals whose signature is attested below ies with I me/my company. SiNo. [Name Designation | Specimen | Specimen | Specimen Signature-1__| signature-1_| signature-1 attested: Sign of Contractor/Proprieter/CEO/MD Name: Designation Seal of Contractor/Proprieter/CEO/MDVERIFICATION FORM aN [Punch erd No. TWO Ne ontractor' Hare ontractor's Aderess eoniacors Phone Nor be Wa fare ofthe worker: Fathers Name pate os ge ee —_ [Evento aie O0C/OTHERS ieiton Instonalny Fermanene Home acaress Present cn aes Afi photo of worker here [Faestone Iooie no sary aT prevous oopaton DLO: vate vote sued at sport No [esse falid up to: issued at: [fave you ever been convicted In any criminal Case? "Yes! glve deta: [s there any Criminal Case Pending ogamst you? Yes’, give details: Photo copy of the documents enclosed ation Card Voter ead Company] Orgrisation 1D Jaadhar Card Driving Ucence Jany other document (give detais)= Thereby declare that detalls given above by me are correct and true to the best of my knowledge. Joate: Signatare or thumb impression of worker UNDERTAKING BY THE CONTRACTOR | nereby undertake that know the indenty of the above mentioned person and {vouch for his good character feeerscederte anit sy er des eis found to be of dubious character or found indulging in any undesirable activity | can be held responsible. fam aware that in case fhe does any wrong doing inside the OMPL ste | willbe solely responsible and the OMPL is free to take any appropriate action against me. Signature of the Contractor. Name Seal10, Hoag HR HR Department comet Sit We have been providing. _Vide work order No. Issue renew photo pass for persons mentioned below ti, Annexure 2 Date: Dated . Please to the area mentioned against ther sno Name Jrather'swame [Area of work nature of [Photo lpunch card No. work Pass No. Yourssincerey (signature) Name Designation Name of frm with seal 100 of th Use Deptt Silty Ofer Tibepanent commended 7 Not Recommendes Iignature ste: same: Joesignation: TerrARed 7 Wot Penne for Process Area signature: lose: Name: [oesignation signature: ste: Name: esignation:Annexure-3 - Z DATA ENTRY SHEET contractor's Name: Daten lbepartment Work Order No Dated: sto] Personal Detail Address Local Address ass No. _| Punch Card No. 1 Pass issued for. ‘ign of the contractorAnnexure-4 REQUISITION FOR ISSUE/ RENEWAL _OF DRIVER'S PASS. lTo, Head-HR IHR Department lomt Date: JL sir, lie have been providing ...... — vide work order No 7 ldated. ssunPlease renew/issue pass up to. - for drivers mentioned Jbelow Driver Photo .No. | Driver Nai art to f No. me [Pepartment | License No |YaN44P'? |pass No. [Punch Card No. ferifiaction form of above drivers is attached herewith Yourssincerey (signature) IName of the authorised signatory IName of firm with seal “HOD of the User Department AR Department [Recommended / Not Recommended signature: Signature: pate: Date: IName: Name: Joesignation: Designation:seat REQUISITION FOR ISSUE/RENEWAL OF VEHICLE PASS (FOR CONTRACT BUS/CARS/JEEPSITT/CANTEEN DISTRIBUTION VEHICLES) To, Head HR Date: HR Department, ‘OMPL, sir, We have been providing — Vide work order No, dates Pease issuelfenew vechicle pass up to {0 neve VBRIGI8S Mentioned below, sm] vence [amet | cay ‘Document vald up tolattach copy attested by contractor) INO [Registration No, | vehicle RC Insurance Road Tax Emission (senate) Name orem vines for HOD ofthe User Degatment Safety Daportment earners [Recrimended Nt Recommended | Parnitea7 Net Permit or proaanare ose ientre: pate: besraton pesenavon owe owsenaonAnnee (FOR VEHICLES BRINGING RAW MATERIALS TO CANTEEN AND CONTRACTORS) Temporary Vehicles Pass Head HR HR Department ome sit, A We have been carrying out swotk at sn vide work order No. dated. 2. We may please be tssued vehicle pass from. un sto, for following vehicles for (reason). 3 Vehicle details are as below: s.NO_ [Details lvehiclea ‘Vehicle 2 VVehicle3 —_|Vehicle 4 a)__Wehicle Registration No. b)_ [Type of Vehicle )_|Name of the driver 4) _|Driving Licence valid up to ©) _[priving Licence Number 4) _[Rcvatid up to }_|Insurance valid up to hy [Tax paid upto Permit valid up to i)_ emission Certificate valid up to k)_|Name of the helper Yous aicerely, Name of the Contractor: ‘Name of Fm with seal: HOD af the User Department Satety Department aDepartment PTET WOT PEPER TOT PORES JRecommended / Not Recommended area signature: signature: signature: are: Joate: bate: ame ware: ame: besignation: Designation: loesignation: Note: attach photocopy of the dacuments for SI No. (3)( 801)Danek ¢ Safety Training Program Date: Safety Régulations pn ‘Speed limit- 20Km/hr.&_in City road 60Kim/hr ‘No overtaking of vehicles, No smoking, drinking and drugs Driving license. & use Seat belt. Drive in designated road. ‘No use of mobile phone at the time of driving [Yo One hand controlling ofvehicles |= Carefully drivel -water sprinkling on slope, Ramps. [Vehicle checklist. (Tyre condition, Air pressure, Brakes, brake lights, Horn, Reverse horn ,Oil, Water etc). ‘Keep Copies of (RC, Tax, Insurance, driving license, PUC ete,). ‘No unauthorized driving & Give safe pass to other vehicles No parallel driving ‘Keep distance of Omir between two vehicles No overhanging & overloading of vehicle. Tnside drive -other speeding vehicle -report name dno ‘Make use of horn in curves and blind curves deeper, hand signal, crossing at slope & crossing “Hang out of previous day drink-don't drive ‘Stopping vehicle at safe place — You are holding the many life . | Get defensive driving trainin; Go for Refresher trainin; Gofor Refresher training Don't talk while drivin Trainer: Trainee: