CHIYODA TECHNIP JOINT VENTURE, North Field East (NFE) Project, Site Office, Ras Laffan - Qatar

Request for Driving Ouside RLIC

25-Dec-22
Employee Name: Vinayak More Date:

Department / Discipline: SHES Designation: SHES Superintendent

25-Dec-22
Required from: Date: Time: 18:00hrs Vehicle: Suzuki Vitara

25-Dec-22
Return on: Date: Time: 22:00hrs Reg. No.: 584018

Reason(s) for Request (please tick):

¨ Hospital Appointment ¨ Official Meeting / Inspection ü Other Reason:

¨ Embassy Appointment ¨ Visit to CTJV - DOC / QNT Stay overnight in Alkhor

¨ Traffic Department ¨ Ooredo / Vodafone (re.Metrash)

¨ Bank Appointment ¨ Government Services

Vehicle will be shared with other colleagues?

¨ Yes ¨ No If yes, please indicate their name(s)V.G. Krishna, S. Khan.

Note: In general, CTJV vehicle must be used for job purpose only inside RLIC and WWTP area. It is the user's responsibility to ensure
their own and the vehicle's safety. Any accident will be the user's responsibility, including any payment demanded by the insurance
company / vehicle rental agency. CTJV vehicles are equipped with GPS hence driving behavior, driven locations and journey
time are closely monitored by Site Admin through the IVMS (In Vehicle Monitoring System). Please note that insurance is not
covered while the car is driven off-road, on sand dunes, rocky deserts and beaches.

Signature and Approvals

Designation Name Signature Date Remarks / Approval

Requestor Vinayak More 25-Dec-22

Discipline Manager Rocky Smith 25-Dec-22 ¨ Approved ¨ Rejected

Dy. Site ADM / Site ADM ¨ Approved ¨ Rejected

Revision 03 page 1 of 1