Application for Issue of Permanent Identity Card Paste one

(Refer Rule 70 of SEZ Rule 2006)

photograph
(To be filled in capital letters)

To

The Development Commissioner/

Specified Officer
SEZ, Seaview Developers Ltd.
Plot No.20-21, Sector-135, Noida

Name of SEZ Unit : SEZ UNIT

Name of Employee Abhilash Tiwari

: ______________________________________________

Father’s Name Narendra Tiwari

: ______________________________________________

Gender Male
: ______________________________________________

Employee Code 679212

: ______________________________________________

Designation Software Engineer - Testing

: ______________________________________________

Date of Birth 17-Sept-1993

: _______________________________________________

Date of Joining in SEZ 13-Feb-2017

: ________________________________________________

Identification Mark Mole near neck

: ________________________________________________

Present Address A-62, Kaladham Society, Knowledge Park - II

: _______________________________________________

Greater Noida - 201310

_______________________________________________

Permanent Address -Same as Above-

: ________________________________________________

________________________________________________

…………………………. ……………………………..
Signature of Applicant Verification by SEZ Unit
Place/Date: (With Name and Seal)

(For Office Use Only)

Identity Card No……….......................issued date……………..…Valid up-to………………….

Development commissioner/
Specified Officer