Work Permit

Name & Address of the Customer : P.Sasikumar

Aircel Ltd, Spencer plaza, 4th floor no:769, Annasalai, Chennai 600002

Nature Of Work : AIRCEL WORK

Place Of Work

Floor Level

Ground floor

Duration Of Work :

From (Date) 17/03/2015

Work Timing

From (Time)

Location

14:00PM

BHARTI DATA CENTER R.A.PURAM

17:00PM

Name Of The Work Supervisor : P.Sasikumar

No. Of Persons Engaged For The Work :

1
Declaration By Customer

I hereby certify that I /My Supervisor will be present during the conduct of the entire work as specified above,I
have taken adequate precaution towards safeguarding the persons involved in the conduct of the above specified
activity at the premises.I undertake to be solely responsible for damage to the premises or injury caused during
the conduct of the above specified work.
P.Sasikumar
Signature of the Customer

Permit Approval
Name

Designation

Dept. / Company

Date

Signature of Station Manager