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TECHNICAL AND ADMINISTRATIVE TRAINING INSTITUTE L.L.

C
DCRP-HSE COURSE NOMINATION FORM AND LOCAL PURCHASE ORDER
COURSE BOOKING FOCAL POINT DETAILS

Electronic form FROM (NAME): SRIRAM LOCATION: SALALAH


Electronic form
Please do not fill DESIGNATION: HSE OFFICER CONTACT NO. (GSM AND LANDLINE): 91397226 Please do not fill
with hand with hand
COMPANY: SHARIKAT FANNIYA OMANIYA LLC FAX NO.:
ADDRESS: PO BOX 127 SALALAH 211 E-MAIL: sriram@sfomaniya.com
* FOR MOM CERTIFICATION, CLIENT's NAME MUST BE THE SAME AS MENTIONED IN THEIR CIVIL CARD ID. THIS IS A MINISTRY DIRECTIVE.

PLEASE FILL THE FORM IN CAPITAL LETTERS. ALL FIELDS MUST BE ENTERED. INCOMPLETE NOMINATION WILL NOT BE ACCEPTED.

S. NO EMPLOYEE CIVIL CARD ID/ NOMINEES FULL NAME * GSM COURSE CODE LOCATION COURSE DATE LANGUAGE NATIONALITY GENDER DOB
NUMBER * PASSPORT NUMBER *

1 76180674 MAROOF WALAYAT 91397226 DCRP-IND[SLL]-E SLL 04 December 2017 ENGLISH MALE

2 92266361 TOHSIL ADAMBHAI 91397226 DCRP-IND[SLL]-E SLL 04 December 2017 ENGLISH MALE

3 73121049 MOHAMMED AFZAL 91397226 DCRP-IND[SLL]-E SLL 04 December 2017 ENGLISH MALE

4 111672481 RAJAN RAMASAMY 91397226 DCRP-IND[SLL]-E SLL 04 December 2017 ENGLISH MALE

5 NEW EMPLOYEE MOHAMADIN BABLOO 91397226 DCRP-IND[SLL]-E SLL 04 December 2017 ENGLISH MALE

6 63019437 CHUNGATH KURIYAKKU VINCENT 91397226 DCRP-IND[SLL]-E SLL 04 December 2017 ENGLISH MALE

7 111990271 MOHITBHAI ATULBHAI PATEL 91397226 DCRP-IND[SLL]-E SLL 04 December 2017 ENGLISH MALE

8 92266394 JAVED 91397226 DCRP-IND[SLL]-E SLL 04 December 2017 ENGLISH MALE

9 111885211 SAGIR AHMED 91397226 DCRP-IND[SLL]-E SLL 04 December 2017 ENGLISH MALE

10 92266389 LIYAQAT CHEIKH 91397226 DCRP-IND[SLL]-E SLL 04 December 2017 ENGLISH MALE

11 111885028 MOHAN KUMAR 91397226 DCRP-IND[SLL]-E SLL 04 December 2017 ENGLISH MALE

12 80579439 MATHIVATHANAN 91397226 DCRP-IND[SLL]-E SLL 04 December 2017 ENGLISH MALE

13 83978994 KRISHNASAMY 91397226 DCRP-IND[SLL]-E SLL 04 December 2017 ENGLISH MALE

14 92266426 KIRAT KACHHIA 91397226 DCRP-IND[SLL]-E SLL 04 December 2017 ENGLISH MALE

15 NEW EMPLOYEE THIRUPATHI 91397226 DCRP-IND[SLL]-E SLL 04 December 2017 ENGLISH MALE

DCRP-D-DIM-LV | DCRP-IND- HSE Induction| DCRP-BFA- First Aid | DCRP-RA- Risk Assessment | DCRP-MS- Manage Safety | DCRP-ESR- Electrical Safety, Rules & Regulations
DCRP-SLM- Safety Leadership for Managers | DCRP-IAI- Incident & Accident Investigation

IF THE COURSE DATE YOU HAVE NOMINATED FOR IS FULL YOU WILL BE ALLOCATED TO THE NEXT AVAILABLE SLOT.
REPORTING 15 MINUTES AFTER THE SCHEDULED COURSE TIME WILL BE CONSIDERED AS 'NO SHOW'.
NO-SHOWS' WILL BE CHARGED IN FULL.
A MINIMUM OF 48 HOURS WRITTEN NOTIFICATION IS REQUIRED FOR CANCELLATION, OTHERWISE THE FULL COURSE FEE IS PAYABLE

AUTHORISING SUPERVISORS DETAILS


Name SRIRAM Signature
Ref. Indicator Date and Stamp 29-Nov-17
24697023/24 FAX: 24601095 | eMail- HSE COURSES: hse@tatioman.com | DD: dcrp@tatioman.com
To check the availability of seats on real time visit the following link: http://www.tatioman.com/nomination/Pu_CourseView.aspx REF NO. TATI/MSQ/MKT/F06-E 30/Dec/15 REV 05
TECHNICAL AND ADMINISTRATIVE TRAINING INSTITUTE L.L.C
DCRP-HSE COURSE NOMINATION FORM AND LOCAL PURCHASE ORDER
COURSE BOOKING FOCAL POINT DETAILS

Electronic form FROM (NAME): SRIRAM LOCATION: SALALAH


Electronic form
Please do not fill DESIGNATION: HSE OFFICER CONTACT NO. (GSM AND LANDLINE): 91397226 Please do not fill
with hand with hand
COMPANY: SHARIKAT FANNIYA OMANIYA LLC FAX NO.:
ADDRESS: PO BOX 127 SALALAH 211 E-MAIL: sriram@sfomaniya.com
* FOR MOM CERTIFICATION, CLIENT's NAME MUST BE THE SAME AS MENTIONED IN THEIR CIVIL CARD ID. THIS IS A MINISTRY DIRECTIVE.

PLEASE FILL THE FORM IN CAPITAL LETTERS. ALL FIELDS MUST BE ENTERED. INCOMPLETE NOMINATION WILL NOT BE ACCEPTED.

S. NO EMPLOYEE CIVIL CARD ID/ NOMINEES FULL NAME * GSM COURSE CODE LOCATION COURSE DATE LANGUAGE NATIONALITY GENDER DOB
NUMBER * PASSPORT NUMBER *

1 76180674 MAROOF WALAYAT 91397226 DCRP-BFA[SLL]-E SLL 5,06/12/2017 ENGLISH MALE

2 92266361 TOHSIL ADAMBHAI 91397226 DCRP-BFA[SLL]-E SLL 5,06/12/2017 ENGLISH MALE

3 73121049 MOHAMMED AFZAL 91397226 DCRP-BFA[SLL]-E SLL 5,06/12/2017 ENGLISH MALE

4 111672481 RAJAN RAMASAMY 91397226 DCRP-BFA[SLL]-E SLL 5,06/12/2017 ENGLISH MALE

5 NEW EMPLOYEE MOHAMADIN BABLOO 91397226 DCRP-BFA[SLL]-E SLL 5,06/12/2017 ENGLISH MALE

6 63019437 CHUNGATH KURIYAKKU VINCENT 91397226 DCRP-BFA[SLL]-E SLL 5,06/12/2017 ENGLISH MALE

7 111990271 MOHITBHAI ATULBHAI PATEL 91397226 DCRP-BFA[SLL]-E SLL 5,06/12/2017 ENGLISH MALE

8 92266394 JAVED 91397226 DCRP-BFA[SLL]-E SLL 5,06/12/2017 ENGLISH MALE

9 111885211 SAGIR AHMED 91397226 DCRP-BFA[SLL]-E SLL 5,06/12/2017 ENGLISH MALE

10 92266389 LIYAQAT CHEIKH 91397226 DCRP-BFA[SLL]-E SLL 5,06/12/2017 ENGLISH MALE

11 111885028 MOHAN KUMAR 91397226 DCRP-BFA[SLL]-E SLL 5,06/12/2017 ENGLISH MALE

12 80579439 MATHIVATHANAN 91397226 DCRP-BFA[SLL]-E SLL 5,06/12/2017 ENGLISH MALE

13 83978994 KRISHNASAMY 91397226 DCRP-BFA[SLL]-E SLL 5,06/12/2017 ENGLISH MALE

14 78440903 MAHAFUZUR REHMAN 91397226 DCRP-BFA[SLL]-E SLL 5,06/12/2017 ENGLISH MALE

15 NEW EMPLOYEE THIRUPATHI 91397226 DCRP-BFA[SLL]-E SLL 5,06/12/2017 ENGLISH MALE

16 104215429 RETHINAM BOSE 91397226 DCRP-RA[SLL]-E SLL 03 December 2017 ENGLISH MALE

DCRP-D-DIM-LV | DCRP-IND- HSE Induction| DCRP-BFA- First Aid | DCRP-RA- Risk Assessment | DCRP-MS- Manage Safety | DCRP-ESR- Electrical Safety, Rules & Regulations
DCRP-SLM- Safety Leadership for Managers | DCRP-IAI- Incident & Accident Investigation

IF THE COURSE DATE YOU HAVE NOMINATED FOR IS FULL YOU WILL BE ALLOCATED TO THE NEXT AVAILABLE SLOT.
REPORTING 15 MINUTES AFTER THE SCHEDULED COURSE TIME WILL BE CONSIDERED AS 'NO SHOW'.
NO-SHOWS' WILL BE CHARGED IN FULL.
A MINIMUM OF 48 HOURS WRITTEN NOTIFICATION IS REQUIRED FOR CANCELLATION, OTHERWISE THE FULL COURSE FEE IS PAYABLE

AUTHORISING SUPERVISORS DETAILS


Name SRIRAM Signature
Ref. Indicator Date and Stamp 29-Nov-17
24697023/24 FAX: 24601095 | eMail- HSE COURSES: hse@tatioman.com | DD: dcrp@tatioman.com
To check the availability of seats on real time visit the following link: http://www.tatioman.com/nomination/Pu_CourseView.aspx REF NO. TATI/MSQ/MKT/F06-E 30/Dec/15 REV 05
TECHNICAL AND ADMINISTRATIVE TRAINING INSTITUTE L.L.C
DCRP-HSE COURSE NOMINATION FORM AND LOCAL PURCHASE ORDER
COURSE BOOKING FOCAL POINT DETAILS

Electronic form FROM (NAME): SRIRAM LOCATION: SALALAH


Electronic form
Please do not fill DESIGNATION: HSE OFFICER CONTACT NO. (GSM AND LANDLINE): 91397226 Please do not fill
with hand with hand
COMPANY: SHARIKAT FANNIYA OMANIYA LLC FAX NO.:
ADDRESS: PO BOX 127 SALALAH 211 E-MAIL: sriram@sfomaniya.com
* FOR MOM CERTIFICATION, CLIENT's NAME MUST BE THE SAME AS MENTIONED IN THEIR CIVIL CARD ID. THIS IS A MINISTRY DIRECTIVE.

PLEASE FILL THE FORM IN CAPITAL LETTERS. ALL FIELDS MUST BE ENTERED. INCOMPLETE NOMINATION WILL NOT BE ACCEPTED.

S. NO EMPLOYEE CIVIL CARD ID/ NOMINEES FULL NAME * GSM COURSE CODE LOCATION COURSE DATE LANGUAGE NATIONALITY GENDER DOB
NUMBER * PASSPORT NUMBER *

1 NEW RAMU MUNI RATHINAM 91397226 DCRP-IND[SLL]-E SLL 27 Sep 2017 (AF ) ENGLISH INDIA MALE

2 NEW SAGIR AHMED 91397226 DCRP-IND[SLL]-E SLL 27 Sep 2017 (AF ) ENGLISH INDIA MALE

3 NEW RONIL KUMAR 91397226 DCRP-IND[SLL]-E SLL 27 Sep 2017 (AF ) ENGLISH INDIA MALE

4 NEW DINESH KUMAR GUPTA 91397226 DCRP-IND[SLL]-E SLL 27 Sep 2017 (AF ) ENGLISH INDIA MALE

5 111990252 SHAILESH MAURYA 91397226 DCRP-IND[SLL]-E SLL 27 Sep 2017 (AF ) ENGLISH INDIA MALE

6 111990247 MD SAAGAD 91397226 DCRP-IND[SLL]-E SLL 27 Sep 2017 (AF ) ENGLISH INDIA MALE

18 62731436 VIBHAKARAN KALESH BABU DCRP-IND[SLL]-E SLL 27 Sep 2017 (AF ) ENGLISH INDIA MALE

8 VINCENT DCRP-IND[SLL]-E SLL 27 Sep 2017 (AF ) ENGLISH INDIA MALE

9 103371452 RK KANNAN 91397226 DCRP-IND[SLL]-E SLL 27 Sep 2017 (AF ) ENGLISH INDIA MALE

10 111363625 RAVI MANI 91397226 DCRP-IND[SLL]-E SLL 27 Sep 2017 (AF ) ENGLISH INDIA MALE

11 103371452 RK KANNAN 91397226 DCRP-FW[SLL]-E SLL 27 Sep 2017 (M ) ENGLISH INDIA MALE

12 111363625 RAVI MANI 91397226 DCRP-FW[SLL]-E SLL 27 Sep 2017 (M ) ENGLISH INDIA MALE

13 73856439 SHEIKH SAMEER 91397226 DCRP-FW[SLL]-E SLL 27 Sep 2017 (M ) ENGLISH INDIA MALE

14 84111961 SHIJIL P 91397226 DCRP-FW[SLL]-E SLL 27 Sep 2017 (M ) ENGLISH INDIA MALE

15 73804947 AMAL DEV 91397226 DCRP-FW[SLL]-E SLL 27 Sep 2017 (M ) ENGLISH INDIA MALE

16 77617636 ARUN V 91397226 DCRP-FW[SLL]-E SLL 27 Sep 2017 (M ) ENGLISH INDIA MALE

17 77883987 BIJU P NARAYANAN 91397226 DCRP-FW[SLL]-E SLL 27 Sep 2017 (M ) ENGLISH INDIA MALE

18 96761665 CYRIL JOHN 91397226 DCRP-FW[SLL]-E SLL 27 Sep 2017 (M ) ENGLISH INDIA MALE

19 101713488 KINGSTEN DAVID 91397226 DCRP-FW[SLL]-E SLL 27 Sep 2017 (M ) ENGLISH INDIA MALE

20 62501796 SREEKANTH KB 91397226 DCRP-FW[SLL]-E SLL 27 Sep 2017 (M ) ENGLISH INDIA MALE

DCRP-D-DIM-LV | DCRP-IND- HSE Induction| DCRP-BFA- First Aid | DCRP-RA- Risk Assessment | DCRP-MS- Manage Safety | DCRP-ESR- Electrical Safety, Rules & Regulations
DCRP-SLM- Safety Leadership for Managers | DCRP-IAI- Incident & Accident Investigation

IF THE COURSE DATE YOU HAVE NOMINATED FOR IS FULL YOU WILL BE ALLOCATED TO THE NEXT AVAILABLE SLOT.
REPORTING 15 MINUTES AFTER THE SCHEDULED COURSE TIME WILL BE CONSIDERED AS 'NO SHOW'.
NO-SHOWS' WILL BE CHARGED IN FULL.
A MINIMUM OF 48 HOURS WRITTEN NOTIFICATION IS REQUIRED FOR CANCELLATION, OTHERWISE THE FULL COURSE FEE IS PAYABLE

AUTHORISING SUPERVISORS DETAILS


Name SRIRAM Signature
Ref. Indicator Date and Stamp 20-09-2017
24697023/24 FAX: 24601095 | eMail- HSE COURSES: hse@tatioman.com | DD: dcrp@tatioman.com
To check the availability of seats on real time visit the following link: http://www.tatioman.com/nomination/Pu_CourseView.aspx REF NO. TATI/MSQ/MKT/F06-E 30/Dec/15 REV 05
TECHNICAL AND ADMINISTRATIVE TRAINING INSTITUTE L.L.C
DCRP-HSE COURSE NOMINATION FORM AND LOCAL PURCHASE ORDER
COURSE BOOKING FOCAL POINT DETAILS

Electronic form FROM (NAME): SRIRAM LOCATION: SALALAH


Electronic form
Please do not fill DESIGNATION: HSE OFFICER CONTACT NO. (GSM AND LANDLINE): 91397226 Please do not fill
with hand with hand
COMPANY: SHARIKAT FANNIYA OMANIYA LLC FAX NO.:
ADDRESS: PO BOX 127 SALALAH 211 E-MAIL: sriram@sfomaniya.com
* FOR MOM CERTIFICATION, CLIENT's NAME MUST BE THE SAME AS MENTIONED IN THEIR CIVIL CARD ID. THIS IS A MINISTRY DIRECTIVE.

PLEASE FILL THE FORM IN CAPITAL LETTERS. ALL FIELDS MUST BE ENTERED. INCOMPLETE NOMINATION WILL NOT BE ACCEPTED.

S. NO EMPLOYEE CIVIL CARD ID/ NOMINEES FULL NAME * GSM COURSE CODE LOCATION COURSE DATE LANGUAGE NATIONALITY GENDER DOB
NUMBER * PASSPORT NUMBER *

1 103371452 RK KANNAN 91397226 DCRP-RA[SLL]-E SLL 30-09-2017 ENGLISH INDIA MALE

2 111363625 RAVI MANI 91397226 DCRP-RA[SLL]-E SLL 30-09-2017 ENGLISH INDIA MALE

3 VINCENT 91397226 DCRP-RA[SLL]-E SLL 30-09-2018 ENGLISH INDIA MALE

4 78419971 RAMPREET SINGH 91397226 DCRP-MS[SLL]-E SLL 30-09-2017 ENGLISH INDIA MALE

5 111363625 RAVI MANI 91397226 DCRP-MS[SLL]-E SLL 30-09-2017 ENGLISH INDIA MALE

6 VINCENT 91397226 DCRP-MS[SLL]-E SLL 30-09-2018 ENGLISH INDIA MALE

DCRP-D-DIM-LV | DCRP-IND- HSE Induction| DCRP-BFA- First Aid | DCRP-RA- Risk Assessment | DCRP-MS- Manage Safety | DCRP-ESR- Electrical Safety, Rules & Regulations
DCRP-SLM- Safety Leadership for Managers | DCRP-IAI- Incident & Accident Investigation

IF THE COURSE DATE YOU HAVE NOMINATED FOR IS FULL YOU WILL BE ALLOCATED TO THE NEXT AVAILABLE SLOT.
REPORTING 15 MINUTES AFTER THE SCHEDULED COURSE TIME WILL BE CONSIDERED AS 'NO SHOW'.
NO-SHOWS' WILL BE CHARGED IN FULL.
A MINIMUM OF 48 HOURS WRITTEN NOTIFICATION IS REQUIRED FOR CANCELLATION, OTHERWISE THE FULL COURSE FEE IS PAYABLE

AUTHORISING SUPERVISORS DETAILS


Name SRIRAM Signature
Ref. Indicator Date and Stamp 20-09-2017
24697023/24 FAX: 24601095 | eMail- HSE COURSES: hse@tatioman.com | DD: dcrp@tatioman.com
To check the availability of seats on real time visit the following link: http://www.tatioman.com/nomination/Pu_CourseView.aspx REF NO. TATI/MSQ/MKT/F06-E 30/Dec/15 REV 05
TECHNICAL AND ADMINISTRATIVE TRAINING INSTITUTE L.L.C
DCRP-HSE COURSE NOMINATION FORM AND LOCAL PURCHASE ORDER
COURSE BOOKING FOCAL POINT DETAILS

Electronic form FROM (NAME): SRIRAM LOCATION: SALALAH


Electronic form
Please do not fill DESIGNATION: HSE OFFICER CONTACT NO. (GSM AND LANDLINE): 91397226 Please do not fill
with hand with hand
COMPANY: SHARIKAT FANNIYA OMANIYA LLC FAX NO.:
ADDRESS: PO BOX 127 SALALAH 211 E-MAIL: sriram@sfomaniya.com
* FOR MOM CERTIFICATION, CLIENT's NAME MUST BE THE SAME AS MENTIONED IN THEIR CIVIL CARD ID. THIS IS A MINISTRY DIRECTIVE.

PLEASE FILL THE FORM IN CAPITAL LETTERS. ALL FIELDS MUST BE ENTERED. INCOMPLETE NOMINATION WILL NOT BE ACCEPTED.

S. NO EMPLOYEE CIVIL CARD ID/ NOMINEES FULL NAME * GSM COURSE CODE LOCATION COURSE DATE LANGUAGE NATIONALITY GENDER DOB
NUMBER * PASSPORT NUMBER *

1 111990271 MOHIT BHAI ATIL BHAI PATEL 91397226 DCRP-IND[SLL]-E SLL 24-09-2017 ENGLISH INDIA MALE

2 111990317 RAJAN KUMAR SINGH 91397226 DCRP-IND[SLL]-E SLL 24-09-2017 ENGLISH INDIA MALE

3 71360552 GOVINDARAJ CHEENU 91397226 DCRP-IND[SLL]-E SLL 24-09-2017 ENGLISH INDIA MALE

DCRP-D-DIM-LV | DCRP-IND- HSE Induction| DCRP-BFA- First Aid | DCRP-RA- Risk Assessment | DCRP-MS- Manage Safety | DCRP-ESR- Electrical Safety, Rules & Regulations
DCRP-SLM- Safety Leadership for Managers | DCRP-IAI- Incident & Accident Investigation

IF THE COURSE DATE YOU HAVE NOMINATED FOR IS FULL YOU WILL BE ALLOCATED TO THE NEXT AVAILABLE SLOT.
REPORTING 15 MINUTES AFTER THE SCHEDULED COURSE TIME WILL BE CONSIDERED AS 'NO SHOW'.
NO-SHOWS' WILL BE CHARGED IN FULL.
A MINIMUM OF 48 HOURS WRITTEN NOTIFICATION IS REQUIRED FOR CANCELLATION, OTHERWISE THE FULL COURSE FEE IS PAYABLE

AUTHORISING SUPERVISORS DETAILS


Name SRIRAM Signature
Ref. Indicator Date and Stamp 20-09-2017
24697023/24 FAX: 24601095 | eMail- HSE COURSES: hse@tatioman.com | DD: dcrp@tatioman.com
To check the availability of seats on real time visit the following link: http://www.tatioman.com/nomination/Pu_CourseView.aspx REF NO. TATI/MSQ/MKT/F06-E 30/Dec/15 REV 05

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