Instaplast Private Limited

Uniform Issuance Sheet

Date: __________________

Employee Name: ___________________ Designation: _________________________

Company Rules

1. Company uniform set will be issued for a minimum one year period from the date of issuance
and employees should wear uniform all the time during his duty with company.
2. Minimum fine will be Rs. 500/- for not wearing uniform
3. If anyone lost his uniform, he should report stores department immediately and will get new
uniform after approval of HOD and by paying cost of 2 times of each uniform.
4. If uniform has been worn out during an year, employee should report stores & concerned HOD
immediately and after investigations new set of uniform will be issued. It might include certain
cost.
5. Employee can take washable uniform for washing after getting gate pass from factory office.
6. Employee should keep Safety shoes & uniforms inside his designated locker in change room.
7. Employee should keep safety shoes inside his designated locker after duty hours and cannot
take it outside factory premises.
8. For Employees living in company hostel provided inside factory premises cannot use uniform or
safety shoes after closing his duty.

I hereby acknowledge that I have received company uniform set as mentioned below and I will abide by
company uniform policy in this respect.

S. No Type of Uniform Quantity

1 Shirt
2 Trouser

3 Safety Shoes

_____________________________ _____________________________

Stores In-charge Name & Signature Employee’s Name & Signature