EMPLOYEE PASS REQUEST FORM

Email:1: z_doc@Intecc.com Email:2: verifydept.office@gmail.com Ph: 6379998946

HYUNDAI SPR POS TN –602105

EMPLOYEE’S DETAILS:
DATE OF ENTRY / ORDER 22-06-2022 or 08-07-2022
NAME OF EMPLOYEE Mr.Teja Prakash N
NAME OF EMPLOYEE’S COMPANY NAME New Joiners/ Power System Division
REASON FOR VISIT Entry DTA -2
BOARDING DATE On or Before July 2022
DURATION (HOURS) 9hrs.

HOST COMPANY’S DETAILS:

NAME OF FREEZONE COMPANY Hyundai Motor India Limited

NAME OF HOST (PRINT NAME) Teja Prakash Narasimman

POSITION Assistant Engineer – Procurement

LOCATION / TELEPHONE NO Sriperumbudur / 6379998946

SIGNATURE:
Entry Time: 15:00PM
NAME:TEJA PRAKASH NARASIMMAN

Request for the Day Pass for a visit only be made By an Authorized Signatory of the Host Company.

I affirm that, the above visitor(s) will complete his/her/their visit and then depart the area within reasonable time
on the visit date before sunset.

Note:
1. Valid Employment Card or Govt ID’s or Passport copy with Aadhar Copy is required for issue the passes.
2. The Visitors enter to Port & Admin area at their own risk, the Corporation will not be responsible for
any injury to person or damage to vehicle / property.
3. The authority reserves the rights to reject any request for entry with out giving any reason.
FOROFFICIALUSEONLY
APPROVED NOT APPROVED