TATA STEEL FORM NO, : SP/H&F/IMEF/O9 REVISION NO. 00.005 SPORTS DEPARTMENT pRacrive DATE 1Am0t8 JRDTATA SPORTS COMPLEX (GYMNASIUM) PASS PORT SIZE HEAD SPORTS PHOTO TATA STEEL Kindly enroll myself/spouse/ward as a member of the Steelym / Body Line / Power Plus Name of Candidate Parent / Guardian's Name Date of birth Height Weight Please attach copy of Gate Pass (Employees), Photocopy of Medical Book (Employee Ward) / PAN Card/ Voter ID/Aadhar Card/Passport/Birth Certificate and one passport size recent photos. Name of the Companylnstitution : ersonal. No. Designation : E-mail ID: Lunderstand and agree to the following : . 1. Participation by me in the activities is voluntary. 2. Lwill get my fitness clearance from doctor to do exercise. Istate that am not suffering from any diseases, infirmity or cisability that may get aggravated as a result of exercise programme. 3. _Lunderstand that I can minimize the risk of adverse changes occurring during exercise by adhering to the exercise guidelines. 4, Iwill follow all guidelines issued from time to time by Sports Department and follow Gym etiquettes to maintain the decorum and discipline of the Gym. 5. The undersigned, waive and release all my rights against Tata Steel Ltd. on account of my admission to the exercise program and agree to hold harmless and indemnify Tata Steel Limited against any and all claims any way connected with my participation in an exercise programme. 6. This agreement is binding on my heirs, executors, administrators and assignees. 7. will sincerely follow the advice/guidance of my instructor and will not file any claim against TSL or the instructor for any injury caused to me during availing the facility. 8. Tunderstand the TSL has the sole right to refuse enrolment or to terminate my enrolment at any point of time. Signature of Applicant Approved HEAD SPORTS