For Safety and Security File PHOTO

Personnel Data Sheet

Company Name: ___________________________________

FullName:____________________________________Position:__________________________________
Gender:_______________________Address:__________________________________________________
Date of Birth:_________________________________________Place of Birth:_______________________
Civil Status:___________________________________________
Telephone/Mobile No.:_________________________________
Driver’s License No.: ___________________________________
Restriction Code: ______________________

Person to be contacted in case of emergency:__________________________________________________

His/Her Address and Telephone:_____________________________________________________________

I hereby certify that above information is true and correct to the best of my knowledge and belief

PAGPAPATUNAY

Ito ay nagsisilbing katunayan na ibinahagi ng aming ___________________ na

si_______________________ ang mga patakaran at alituntunin sa Loob ng pasilidad ng Subic Bay
Freeport Grain Terminal Services Inc. Na ito ay aking naiintindihan at handa akong tumupad at sumunod
sa mga patakaran at alituntunin na ito. Naiintinduhan ko din na sa paglabag ko sa mga patakaran at
alintuntunin na ito ay may kaukulang kaparusahan na pagbutas ng aking Safety Pass kasama ng
kaukulang multa sa naaayong kada butas.

Bilang katunayan ng aking pagkaintindi at pagtanggap ay nilagdaan ko ito ngayong ika ______ ng
_____________ sa taong _________ sa harap ng aming _________________ na si _________________
Bilang pagpapatunay.

.
Empleyado__________________________ Lagda_________________ Petsa___________

Safety Officer/Supervisor _________________________Lagda:__________________ Petsa__________

FRM-SD-006 v1.0
E/D: 03/27/18