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 Self-Declaration Form 

I, the undersigned, hereby declare that I have read the guidelines mentioned in the ESS link on Preventive measures to contain spread of COVID-19 at workplace, measures to be taken during Home Quarantine & Home Isolation as issued by the Ministry of Health and Family Welfare, Government of India.

I hereby declare, I have understood and shall follow all the guidelines, deviation of which can give right to the company to take disciplinary action against me.


Employee Name:   
Employee Code :   
Date :                      02-11-2024




Signature: ___________________________