This document is an undertaking signed by an aviation personnel, Mohd. Khasif, reporting for refueling duty at Ahmedabad airport on April 20, 2020. He declares that he is not under the influence of alcohol, has not consumed alcohol or psychoactive substances in the last 12 hours, and is aware that any violations of the undertaking will result in suspension of his license/approval for three years. The undertaking is based on orders from the DGCA regarding temporary measures during the COVID-19 outbreak.

1. Note:ThisundertakingisbasedonDGCA Order DGCA-15031/4/2020-DAS dated24th
March 2020 &
29th
March 2020. Further,thisorderis purelytemporaryinview of the COVID-19outbreak,which
will be reviewedfromtime totime byDGCA,India.
RELIANCE INDUSTRIES LIMITED
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COMPLIANCE TO CIVIL AVIATION REQUIREMENTS
SECTION 5 SERIES F PART III Dated 4th
August 2015
& SECTION 5 SERIES F PART IV Dated 16th
September 2019.
S.No:AMD/20/04/2020/01
UNDERTAKING OF AVIATION PERSONNEL
(To be filled by Aviation Personnel)
I,Mohd.Khasif(name), AFE(designation), employee no 10026765 holding valid DGCA
license/Approval holder no. or Approval issued by any other Authority to facilitate
operation at airport Ahmedabad do hereby report for the duty to operate flight (s) in B shift
in the capacity of Refuelling(nature of duty) on date 20/04/2020 at time 1400Hrs at
Ahmedabad station/airport.
Further I do declare that:
1. I am not underthe influenceof Alcohol.
2. I have not consumedAlcohol/Psychoactive substance inthe last12 Hours from the time of
reportingforthe duty.
3. Also,Iam fullyaware thatin case of violationsof the undertaking, myLicense/Approval will
be suspendedforaperiodof THREE years.
(Name and Signature of Aviation Personnel)