ITTEHAD CHEMICALS LIMITED

RETURNABLE GATE PASS REQUEST

. To be filled in by Store

Request No._______________

From: ________________________ RGP No.___________________

Date: ______________________
Incharge Engineering Store
Please arrange to prepare R E T U R N A B L E Gate Pass for the items given bellow.

Consignee’s address_________________________________________________________

_____________________________________________________________________________

Taken out by Mr._____________________________________________________________

Designation_____________________________ Dept._______________________________

Sr. #. Description Unit Qty Reason for taking out

Authorized by ____ _____________ Date ____

Request Received in Store by

Name_____________________________

Designation________________________

NOTE: All columns must be filled.