Form – L

(Rule 13 under Maharashtra Shops and Establishments (Regulation Of

Employment and Conditions Of Service) Rules, 2018)

CONSENT OF WOMEN WORKER TO WORK IN NIGHT SHIFT

I Miss/Smt, ________________________________ _______________residing at

__________________________________________________________________(Full Address)

State that I am working at (Career Level) _______________________________ in

M/s Accenture Solutions Private Limited since ________DOJ __________

I am aware that, -

The employer will provide separate safe and secure transport facility from the doorsteps of my
residence to place of work and vice-versa- and that there will be at least three women working in
the nightshift and that there is a committee to prevent sexual harassment at work place under the
Chairmanship of Smt.**_______________________

I am therefore willing to work at nightshift for the period from _____DOJ _____________ to
__________________ period

Date:

Place:

Signature of the Women workmen

Name, address and Signature of witness

1) ______________________________
2) ______________________________

Note: ** The Chairman of Committee to prevent Sexual Harassment may be changing from time to
time due to Rotation, change in their employment status with Accenture or any other circumstances
as deemed applicable. Therefore, Employees have been informed to refer to Accenture Policy &/or
List of Committee Members published on the Notice Board for latest information on this.