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Personnel Gate Pass Application Rev 2a

This document is a personnel gate pass application for an individual needing access to an Al Zour project site. It contains sections for requesting access details, individual details, approvals from security and PMC guard force contractor, and a list of required supporting documents to attach including photos, ID copies, training certificates, and previous gate passes. The application is to renew a gate pass for an Indian national working as a QA/QC welding engineer for a construction duration from July 10 to July 29.

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Karthik Dhayalan
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845 views1 page

Personnel Gate Pass Application Rev 2a

This document is a personnel gate pass application for an individual needing access to an Al Zour project site. It contains sections for requesting access details, individual details, approvals from security and PMC guard force contractor, and a list of required supporting documents to attach including photos, ID copies, training certificates, and previous gate passes. The application is to renew a gate pass for an Indian national working as a QA/QC welding engineer for a construction duration from July 10 to July 29.

Uploaded by

Karthik Dhayalan
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
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CLEAR Attach Photo

PERSONNEL GATE PASS APPLICATION Here


Al Zour Project
(Blue Background)

Badge ID No: ....


( To be allocated by GFC)

PART - 1 TO BE COMPLETED BY REQUESTOR


Select a Group Select option EPC - Work area to access
TSHJ- 055A FDHJV-055B SPESJ-059 HSSJ-045
PMT PMC EPC New Renewal
Sub Contractor Name ( If applicable)

Duration for Temporary Passes (dd/mm/yy) Requirements: HSE&S Induction Completed:

From: 10-Jul-17
.. Site Driving On Shore

To: 29-Jul-17
. Off Shore Off Shore
DETAILS OF INDIVIDUAL REQUIRING PERSONNEL GATE PASS

Full Name: Karthik Dhayalan


........ Employee No: KD 1790E
.

Job Title: QA QC Welding Engineer/Insp


........ Nationality: Indian
.

Civil ID / Passport Number: L4676479


. Contact No.: 94080198
.

Residence / Work Visa Expiry: 13-Aug-19


. Company Name: Amec FW
.

Driving Licence Expiry: . 0000809


Old Gate Pass No: .

Requested By ( application authorising signatory) - Line Manager Contact #



David Waldrop
............... QA..
QC Manager(PMC) .
( Name/Surname) Designation Signature Date

PART - 2 TO BE COMPLETED BY APPROVER ( Security Dept.)


Approved By ( authorised signatory & stamp ) Contact #

............... .. .
( Name/Surname) Designation Signature Date

PART - 3 TO BE COMPLETED BY PMC GUARD FORCE CONTRACTOR (GFC)


Card Production: Verified:
Badge, ID No: .. Name: .. Date: ...

Expiry Date: .. Signature: . Signature: ...


PART - 4 INSTRUCTIONS
The Following supporting documents must be attached to this applications:

Two new colour full facial blue background photographs (portrait), sized 30mm x 20mm, or 1 copy + Electronic File

Copy of Civil ID, or Passport Copy with valid Kuwait work visa stamp

Copy of Onshore HSE&S Induction Attendance Form

Copy of Kuwait driving License ( as applicable )

Copy of HSSJ Marine Induction Form (as applicable )

Copy of Old gate passes for renewal.

Copy of Contractor / EPC internal ID badge

Personnel Gate Pass Application rev 2a

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