VEHICLE PASS APPLICATION

CONTROL NO:

1. Name of Applicant Date:

Destination:
Last First M.I.
Address: Tel. no:

2. Name of Company Email:

Tel. no:
TIN of Payee:
Address:

3. Applicant's Declaration
(a). I hereby certify and acknowledge that I have read this application and affirm that the above statements, information and other attached documentation are true,
TO BE FILLED BY APPLICANT

complete and correct to the best of my knowledge.

(b). I am applying for the issuance of VEHICLE PASS described above for the use of NUVALI ROAD.

ACCESS TO/FROM: NUVALI Gate 1 NUVALI Gate 2 NUVALI Gate 3

(c). In cases of violations by my agent, or myself, I hereby acknowledge the authority of Estate Management to revoke this permit, and/or impose penalties/sanctions without prejudice
to legal remedies and claim for damages by Declarant/Association/Estate Management.
(d). I understand and acknowledge that the issuance of the vehicle pass does not carry any acceptance of liability on the part of NUVALI and its authorized personnel, for any cost or
expense from any untoward incident, injury, and damages that may occur arising from/or on the occasion of the operation of the said motor vehicle and/or use of the vehicle pass
whether within the premises of the road or otherwise.
(e). I bind myself to follow and cause any person acting under its authority or behalf with respect to the motor vehicle subject of this
application to comply with all pertinent rules and regulations.
(f). I will comply with all traffic rules and regulations being implemented in NUVALI.

Applicant's Signature over Printed name Date

3. Property/Locator's Authorized Signatory Property Name:

Tel. no:
Signature over Printed name Date
4. Vehicle Application Details
Vehicle Type/Model and Year Color Plate Number Gross Weight Duration

1 month 2 months 3 months

Remarks

5. Approved by:

NUVALI Estate Management Designation Date

6. Reference and Reminder

Vehicle Pass Rates Remarks
Below 4500 kg gross weight Php 100.00
4500 kg and above gross weight Php 1000.00
Application Guidelines

All completely filled up Vehicle Pass Application form must be checked, signed, or endorsed by the Property / Village Administration.
All signed or endorsed Vehicle Pass Application form should be submitted to NUVALI Administration office based on the application and processing schedule.
All Non-Locator applications must be requested to and reviewed by NUVALI Estate Management.

Delivery Schedule Application Requirements

All deliveries are only allowed from 8:00 AM - 6:00 PM to enter or access
NUVALI ROAD. If in any case: Deliveries must be done before or after a. Fully filled up Vehicle Pass application form
delivery hours, a request letter must be submitted together with the Vehicle
Pass application b. Copy of OR/CR (Official Receipt / Certificate of
Registration)
Application Schedule

Receiving of Permits: 8:00 AM - 12:00 PM c. Endorsement Letter from the respective property /
Releasing of Permits: 1:30 PM - 4:00 PM Delivery Permit / Delivery Receipt / Sales Invoice
All late application will be released the day after the submission.
All application will only be processed Monday to Friday

Control No.: Date:

Vehicle Pass Claim Stub
Present this stub for processing and
releasing of application Destination: Date released:
CLAIM STUB

Complete Name Plate Number

Last First M.I.

Name of Company Email: Vehicle Pass Validity Released By:
Tel. no:
TIN of Payee:

*Please present this form to NUVALI Estate gates. Penalty for lost form shall be Php 1,000.00