APPLICATION FORM FOR MATHERAN

(Applicants filling up this form are deemed to have read and consented to abide by the rules.
Notes of general importance are reproduced on the reverse hereof )

Date: _____________

1. Applicant’s Name: ________________________________________________ 2. Age: ______

(Capital Letters)

3. Company: __________________________________ 4. Department: ____________________

5. Designation: ____________________ 6. Employee No. _________________ 7. Grade: _______

8. Address (Office): _______________________________________________________________

________________________________________________________________________________

9. Tel No: ____________________ Extn: _____________ At: ___________________________

(Name of the Building)

10. Have you visited this Holiday Home in the past? If so, when and for how long? ___________

11. Proposed duration of stay: From: ______________________ To: _______________________

12. Details of persons accompanying the applicant

Sr. No Name Relationship Age

1
2
3
4
5

I have read and understood the COVID – 19 SOP and agree to abide with the same.

Certified that the above statement is correct.

____________________ ____________________________________________
Signature of Applicant Signature and Designation of Authorized Signatory

SERVICES LIMITED
Army & Navy Building 3rd Floor 148 M G Road Fort Mumbai 400 001
Tel 91 22 6665 8282 e-mail tataservices@tata.com
CIN U51909MH1957PLC010942
 IMPORTANT NOTES

1. The Holiday Home is primarily meant for the employees and their
families only. For the purpose spouse, dependent children and
dependent parents of employee are considered as family members.
Members of the staff desiring to take with them any other relatives and
friends may be permitted to do so.

2. Not more than Six persons of the same family will be accommodated.
(Including Minor)

3. In addition, a cancellation fee of Rs. 500/- per day plus GST as

applicable as cancellation charges will be levied in case the cancellation
is made 10 or less days of the date from commencement of the booking
date.

4. The accommodation is allotted to you on condition that the employee

must compulsorily stay there during the entire period of your
allotment. No persons other than those mentioned in the application
form will be permitted to stay in the accommodation allotted to you
during the visit.

5. Check in time after 6.00 am & Check out time before 6.00 pm

6. Pets are not allowed.

7. The applicant should also carry the copy of allotment letter which they
have to submit to the Caretaker at the time of check in.