Professional Documents
Culture Documents
Please forward nominations of one as confirm and one as standby from current members of ONGCHA
from your branch for the above program after receiving approval from their Controlling Officer in attached
format, medical f itness certificate not older than one month (format attached) and copy of ONGC
Identity card through e‐mail to Shri Ponnam Srinath, with a Copy to Smt Shobha Negi, ONGCHA, Dehradun
latest b y 22.03.2023 (1700 Hrs ).
Mail : 105083@ongc.co.in / srinath_ponnam@ongc.co.in
Mail (cc) : 59471@ongc.co.in / Negi_shobha@ongc.co.in
Preference shall be given to the participants who have been participating in treks organised by local
bodies.
Note: The nominated executives may be advised to attend the program only after receiving confirmation
from ONGCHA, Dehradun and ensure their availability for this pre-paid program otherwise consent
to bear the cost.
Regards,
(Amit Chauhan)
Secretary, ONGCHA
ओएनजीसी हिमालयन एसोहसयेशन
ONGC HIMALAYAN ASSOCIATION
KDMIPE Campus, Dehradun, Uttarakhand
Ph.: 0135-2795753, Email: ongchadehradun@gmail.com
Signature
Date…………………………….. Name of Dr. …………………..
Place……………………..…… Degree ………………………..
Reg No…………………Seal
DECLARATION
I .............................................................. hereby declare that I will not hold the Oil and Natural
Gas Corporation Ltd. or the ONGC Himalayan Association responsible for any injuries, I
may sustain in the course of any activities undertaken through ONGC Ltd or the ONGC
Himalayan Association responsible or liable to compensation in the event of my death
caused by any activity undertaken through ONGC Himalayan Association.
Signature.........................................................
Name in Full (In Capital)...................................
Contact No.(Res/ Office) ................................... .
Signed in presence of
Address……………………………………………..
1 ...............................................
2 ............................................. Date……………….
Place………………
Important:
1 Participants with heart problem, high blood pressure, asthma and epilepsy may not participate
in it.
ओएनजीसी हिमालयन एसोहसयेशन
ONGC HIMALAYAN ASSOCIATION
KDMIPE Campus, Dehradun, Uttarakhand
Ph.: 0135-2795753, Email: ongchadehradun@gmail.com
Office Address
Declaration by Participant:-
The above information is true, correct and complete.
I do not have any infectious disease neither physically disabled and I am keeping good health and declare
that I am physically fit for this River Rafting/ Expedition / Activity.
I agree to adhere strictly to the discipline of the programme and abide by the directions of the Team Leader
and ONGCHA Coordination Team at all times during the programme.
I understand that Adventure activities are sometimes carried out under inhospitable conditions, which
may involve serious risk to the person including accident, illness or injury, resulting to any type of disability
even death or risk to the property of the participant. I am undertaking this River Rafting/Expedition/Activity
at my own risk and consequences. I shall not hold ONGCHA or ONGC responsible for any mishap/injury
sustained even death during the River Rafting/Expedition/Activity.
I understand that if I have given wrong information in my application, this will be ground for
disqualification from this River Rafting/Expedition/Activity and may impose serious penalties as per
discretion of ONGCHA / ONGC.
I understand that the decision of the selection of participants depends upon numerous factors including
the nature of the Activity / Expedition and is solely at the discretion of Coordinating Regional Unit and
Central Unit ONGCHA. I will not challenge the participation selection procedure being followed for the
Activity / Expedition.
I understand that it is a pre-paid program and I consent that I shall bear the cost of the program, if I do not
attend the program after receiving confirmation from ONGCHA, Dehradun.
(Signature of Participant)
Controlling Officer
(Signature with Stamp)
CONSENT OF CONTROLLING OFFICER FOR Unit Branch Coordinator, ONGCHA
PARTICIPATION OF APPLICANT (Signature)