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Ref. No.

:06082020 Date:6th Aug,2020

I, Dr. KRANTHI RAJ THATIKONDA Owner(s) of the _RAJAIAH MULTISPECIALITY


HOSPITAL ,Hanamkonda Warangal, hereby undertake to discharge role & responsibilities of
the employer as stipulated in Atomic Energy (Radiation Protection) Rules-2004 promulgated
under Atomic Energy Act,1962 .
I am fully aware about the role & responsibilities of the employer as per the above said Rules &
Act.

Signature

Name of Owner(s)/Employer of the institution: Dr.Kranthi raj T

Designation: Managing director


Institution Name and Address: Rajaiah multispeciality hospital
Circuit house rd, hanamkonda
. Warangal 506001 Telangana
Email ID: kranthiraj@gmail.com
Mobile no.: 7702401250

Seal of the Institution

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