Malaysian Resources Corporation Berhad ( Company No : 7997 - D)

MRCB Engineering Sdn.Bhd.( Company No : 81777 - T) Form No. : MESB-HSE-GP-05

Ver. : 0.0
LOT G, KL SENTRAL
Date : GATE PASS

Company Name : Gate Pass No :

Driver's Name : Vehicle Plat No :

IC Number : Vehicle Body No/Type :

Removel Date / Time : Sub Contractor Site

Manager Representative
Signature & Stamp :

No. Material, Equipment or Tools Description Unit Quantity Remark

Checked By : Date & Time :

MESB Supervisor Name & Signature Stamp

Approved By : Date & Time :

Name & Signature Stamp

Checked By : Date & Time :

Security Guard Name & Signature Stamp

Note : Original Copy must be presented & surrendered to the Security Guard on duty
No materials are to leave the site on Sundays and Public Holidays.
Person (s) authorized to sign this Gate pass:
1. S.M. Lee 2. Samsuddin 3.G.S.Tan 4.P.Parthiban