TATA STEEL ADVENTURE FOUNDATION JAD TATA SPORTS COMPLEX, JAMSHEDPUR-£31001 9905716339 info@tsatindia.cry @ wwnctsafindia.org TATA STEEL Internal Communication Form Annexure 1 - Format for Superior’s Approval (Chief or Head) To, Head Tata Steel Adventure Foundation JRD Tata Sports Complex, Jamshedpur The following employee from Department is selected to attend the following Outdoor Leadership Course at Uttarkashi organized by “Tata Steel Adventure Foundation (TSAF) from Start Date 05.05.2022 _ to End Date_14,05,2022 including travel time. We will release this employee for the course and travel period. Gaiioes Nive Siba prasad dash Employee Designation: JET Employee P. No.: 913803 Employee Department: Base Blending plant, sinter plant Superior Signature: ‘Superior Name: Dharmendra kumar Singh Superior Designation: _H.O.D of BB plant — Superior P. No.: 077756978 Date: 13.04.2022 (On return, employee needs to follow the company guidelines for interstate travel and follow the department directive. The “Qutdoor Leadership Course” course fees of 24,900/- per employee payable to Tata Stee! Adventure Foundation from Cost Centre AI2103 Note - If an employee (after confirmed registration) is unable to attend for any reason whatsoever, the department can replace him/ her. However, course fees paid will not be refunded.TATA STEEL ADVENTURE FOUNDATION a JRO TATA SPORTS COMPLEX, JAMSHEDPUR-231001 ‘9905716339 Pinfo@tsafindia.org @ www.tsafindia.org Annexure 2 - TSAF Undertaking (Self) Expedition / Outdoor Activity Name__Leadership course _ Course Start Date 05.05.2022 General acknowledgement of risk inherent during expedition / outdoor activity. hereby recognize and acknowledge that there are many risks inherent in any activity associated with the outdoors, including many aspects of this expedition. These risks include dangers, not only associated with participation in activities, but include dangers associated with aircraft and travel to and from the location of the activities. By signing this TSAF Policies and Hazard Awareness Agreement, | am voluntarily and knowingly subjecting myself to all dangers, risks, and rigors involved or associated with the expecition listed above. By signing this form, | state that | have been informed of some, but not all the possible dangers, and some, but not all of their consequences. acknowledge and assume responsibility for all risks and dangers and all of their consequences, whether or not foreseeable. Ihave had an opportunity to make myself aware of any and all consequences of these risks and dangers involved with this expedition and have done so to my complete satisfaction. Statement of Mental and Physical Ability 1am mentally and physically prepared to participate in the expedition listed above. Further, I hereby state that | have carefully followed prepared adequately for this expedition. If Rescue is Necessary, Thereby accept full responsibility, and agree to pay for, any and all expenses, necessarily incurred, if rescue shall become necessary. | further agree that, TSAF shall have complete and sole discretion to decide when, where, how, to what extent, and under what circumstances, my rescue should be required. | hereby agree and promise to pay for any and all costs necessarily incurred and reasonably related to my rescue | agree with the following undertaking with regards to COVID19 risk - TSAF will not be responsible for any risk or problems related to health, life or anything else arising due to COVID9 infection to you or any member of the expedition. Any financial expenses for corresponding medical bills, treatment, quarantine, or hospitalization etc. will need to be borne by the participant / organisation themselves. 'have read the cancellation policy and agree to all its terms and conditions. Participant Name -siba prasad dash Signature - stage Age- 20 Date ~ 13.04.2022TATA STEEL ADVENTURE FOUNDATION 4 JAD TATA SPORTS COMPLEX, JAMSHEDPUR-£31001 a 9905716339 Binfo@tsatindia.cry @ wwnctsafindia.org TATA STEEL Internal Communication Form Annexure 1 - Format for Superior’s Approval (Chief or Head) To, Head Tata Steel Adventure Foundation JRD Tata Sports Complex, Jamshedpur The following employee from Department is selected to attend the following Outdoor Leadership Course at Uttarkashi organized by "Tata Steel Adventure Foundation (TSAF) from Start Date 05.05.2022 _ to End Date_14,05,2022 including travel time. We will release this employee for the course and travel period. Employee Name _Chinmaya Bisoi__ Employee Designation: yet Employee P. No.: 913804 Employee Department: Base Blending plant, sinter plant Superior Signature: ‘Superior Name: Dharmendra kumar Singh Superior Designation: _H.O.D of BB plant — Superior P. No.: 077756978 Date: 13.04.2022 (On return, employee needs to follow the company guidelines for interstate travel and follow the department directive. The “Qutdoor Leadership Course” course fees of 24,900/- per employee payable to Tata Steel Adventure Foundation from Cost Centre AI2103 Note - If an employee (after confirmed registration) is unable to attend for any reason whatsoever, the department can replace him/ her. However, course fees paid will not be refunded.TATA STEEL ADVENTURE FOUNDATION " JRO TATA SPORTS COMPLEX, JAMSHEDPUR-231001 4 9905716339 Pinfo@tsafindia.org @ www.tsefindia.org Annexure 2 - TSAF Undertaking (Self) Expedition / Outdoor Activity Name__Leadership course _ Course Start Date 05.05.2022 General acknowledgement of risk inherent during expedition / outdoor activity. hereby recognize and acknowledge that there are many risks inherent in any activity associated with the outdoors, including many aspects of this expedition. These risks include dangers, not only associated with participation in activities, but include dangers associated with aircraft and travel to and from the location of the activities. By signing this TSAF Policies and Hazard Awareness Agreement, | am voluntarily and knowingly subjecting myself to all dangers, risks, and rigors involved or associated with the expecition listed above. By signing this form, | state that | have been informed of some, but not all the possible dangers, and some, but not all of their consequences, J acknowledge and assume responsibility for all risks and dangers and all of their consequences, whether or not foreseeable. Ihave had an opportunity to make myself aware of any and all consequences of these risks and dangers involved with this expedition and have done so to my complete satisfaction. Statement of Mental and Physical Ability 1am mentally and physically prepared to participate in the expedition listed above. Further, I hereby state that | have carefully followed prepared adequately for this expedition. If Rescue is Necessary, Thereby accept full responsibility, and agree to pay for, any and all expenses, necessarily incurred, if rescue shall become necessary. | further agree that, TSAF shall have complete and sole discretion to decide when, where, how, to what extent, and under what circumstances, my rescue should be required. | hereby agree and promise to pay for any and all costs necessarily incurred and reasonably related to my rescue | agree with the following undertaking with regards to COVID13 risk - TSAF will not be responsible for any risk or problems related to health, life or anything else arising due to COVID9 infection to you or any member of the expedition. Any financial expenses for corresponding medical bills, treatment, quarantine, or hospitalization etc. will need to be borne by the participant / organisation themselves. thave read the cancellation policy and agree to all its terms and conditions. Participant Name- Chinmaya Bisoi Signature- Chinmoy S03 Age- 21 Date~ 13.04.2022