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Night Shift Consent Form L

The document is a consent form for employees of J.P. Morgan Services India Private Limited (JPMSIPL) to work night shifts, ensuring safe transportation and a committee to prevent sexual harassment. Employees acknowledge their understanding of the transportation guidelines and release JPMSIPL from liability if they choose not to use the provided transport. The form is compliant with various state laws regarding employment conditions.

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bishth535
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535 views1 page

Night Shift Consent Form L

The document is a consent form for employees of J.P. Morgan Services India Private Limited (JPMSIPL) to work night shifts, ensuring safe transportation and a committee to prevent sexual harassment. Employees acknowledge their understanding of the transportation guidelines and release JPMSIPL from liability if they choose not to use the provided transport. The form is compliant with various state laws regarding employment conditions.

Uploaded by

bishth535
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

Night Shift Consent (Form L)

Name
Address

Designation
Date of
Joining

I am aware that J.P. Morgan Services India Private Limited (hereinafter referred to as JPMSIPL) will provide separate, safe and
secure transportation from the doorstep of my residence to the place of work (and vice-versa); that there will be at least five female
employees working a night shift, and that there is a committee to prevent sexual harassment at the workplace under the
Chairmanship of Smt. Malini Pant (Mumbai/Pune), Smt. Amrita Gulati (Noida/Gurgaon), Smt. Avani Mahendra (Bengaluru) and
Smt. Tulsi Kankipati (Hyderabad).

I am therefore willing to and hereby consent to work night shifts during my employment with JPMSIPL as per applicable laws
and guidelines, where night or night shift it is defined under relevant legislation or rules.

In the event I choose not to use JPMSIPL arranged transportation either on certain days or otherwise for personal reasons, I
shall make my own arrangements for commuting to and from office. I, on behalf of myself and on behalf of all my legal heirs,
hereby release JPMSIPL and forever discharge JPMSIPL from any and all claims, demands, liabilities and suits of any kind and
nature whatsoever, which I or any of my legal heirs may have, arising out of or relating to, me not using JPMSIPL arranged
transport and any related incidents thereto.

I further undertake that I have read and consent to JPMSIPL’s transportation guidelines.

Date
X Address
W e t in k /h a n d w ritte n sig n a tu re o f e mp lo ye e

Name, address and signature of two witnesses (ex. family, friend, etc.)

Full Name Current Home Address Wet Ink/


(Flat No, Building Name, City – Pin Code, State, Country) Handwritten
Signature

This declaration is being sought/ provided pursuant to-


1. Rule 13(2)(i) of the Maharashtra Shops and Establishments (Regulation of Employment and Conditions of Service) Rules,
2018
2. Section 25 of the Karnataka Shops & Commercial Establishments Act, 1961
3. Telangana Shops and Establishments Act 1988 and the notifications, guidelines/ G.O.s issued thereunder
4. Other applicable state and/or central laws, if any

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