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ID Badge Request Form

Employee ID  C50820

Employee Name  Sanket Uttarwar

Designation  Intern

Supervisor Name  

Department / Team

Floor  

Shift Timings

Official e-mail Address  

Reason for new / duplicate ID badge  

Emergency Contact Number 9325225218

Blood Group AB+

Remarks (if any)

Note:

▪ Please submit your two current photographs along with this form.
▪ If the request is for a duplicate ID badge, I understand and accept an amount of INR 150 will be
deducted from my current or subsequent month’s salary (as applicable) in lieu of procuring the new
ID Badge as per the company policy.

Date: 25-8-20

Place: Pune

Signature:

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