[FORM' Q' (See Rule 24(9-A)] Appointment Order 1. Name and address of the Establishment :Aditya Birla Fashion and RetailLimited, Sy No 527 to 531, Madivala Village, Kasaba Hobli Anckal TO Bangalore 562107 2. Name and address of the Employer : Southern Supplies Company No.94/8,1st Floor,Jogupalya Main Road,G Street Halasuru, Bangalore - 560008 3. Name of the Employee : JAHANGIR ALAM 4. His I Her Postal Address : SHETTIHALLl,ANEKAL,BENGALURU562106 5. His I Her Permanent Address : JAHANGIR ALAM S/O- AKBAR ALI Vill-banglipara, P.O-jania, P.S-barpeta, Dist-barpeta, Assam, 781314 6. Father's I Husband's name : AKBAR ALI 7. Date of Birth :01/01/1998 8. Date of His I Her entry into employment :11/06/2019 :HELPER/ PACKER 9. Designation 10. Nature of work entrusted to him : Picking,Scanning,Loading & Unloading. 11. His I her serial number in the Register of employment : 11412 12 Rates of wages payable to him/her i) Basic&DA Ii) HRA Iii) Other allowances if any Total Place: Attibele Date :15/02/2019 Acknowledgement by Employee With date and signature : 9268 : 8067 : 1201 : : 9268 Signature of the Employer [Seal d the Establishment)