FORM FOR NEW CONNECTION

Reliance Industries Limited

222, Maker Chambers-IV, 3rd Floor,,Nariman Point, Mumbai,400021.

Date:13 Dec 2023

To,
M/s Reliance Jio Infocomm Limited

Mr. Ajay Vishwakarma is working for Jio Platforms Limited and is to be issued a CORPORATE SIM CARD with basic
facilities.(Call Conference / Local / STD)

Reference No : 00270687
Company Code : Jio Platforms Limited
Emp. Name : Mr. Ajay Vishwakarma
Emp Code : 55092818
Work Location : Reliance Corporate Park
State : Maharashtra
City : Navi Mumbai

Thanking you,

-----------------------
Mr. Bharat Bhushan
HR O2C
BHARAT8.BHUSHAN@RIL.COM

UNDERTAKING BY THE USER

I undertake to use the CORPORATE SIM for official purpose and shall be responsible for misuse if any.

Jio Mobile Number : __________________

SIM ICCID : ________________________

SIM IMSI : _________________________

----------------------------- -------------------------------------
Mr. Ajay Vishwakarma Authorized Signatory (State)
Name :
Date : 13 Dec 2023

----------------------------------
Authorized Signatory
Name : Mr. Nishant Prakash Upadhyay
Date : 13 Dec 2023

Note:-

To activate the COCP SIM card, employee belongs to Assam, Jammu & Kashmir & North-East states have to submit
Physical Photocopy to Onboarding Lead (Activation SPOC).
In case of MNP (Employee wants his other operator no. to be ported in Jio as Employee no.), activation will take 4 working
Days.