ASEANA BUSINESS PARK ESTATE ASSOCIATION INC.

3rd Floor Aseana Power Station Building,

Macapagal Blvd., corner Bradco Ave., Parañaque City
Tel. No. 8854-5711

GATEPASS
Please check (✓) one

OPERATIONAL CONSTRUCTION
 DELIVERY  PULLOUT  DELIVERY  PULLOUT

BUILDING/PROJECT NAME:
CONTRACTOR/SUPPLIER NAME:
VEHICLE PLATE NO./NO. OF WHEELS: /

ITEMS DESCRIPTION AND QUANTITY:

1 6
2 7
3 8
4 9
5 10

Requested by: FOR PULLOUT: (Building/Project Authorized Representative)

Signature over printed name Signature over printed name

---------------------------------------------------------------------To be filled out by Admin only-----------------------------------------------------------------

ABPEA ACCOUNTING ABPEA OPERATIONS

Approved by:

_________________________________
ESTATE REPRESENTATIVE

DATE RELEASED:
CONTROL NO.
NUMBER OF ENTRY 1 2 3 4 5

SECURITY SIGNATURE UPON

ENTRY/EXIT OF 6 7 8 9 10
PROJECT/BUILDING

By signing this application form, I acknowledge that any personal information and supporting documentation supplied to ABPEA is done voluntarily in order to facilitate the
processing of application. Further, I hereby certify that the information I provided is the best of my knowledge both true and correct, and that I understand that any incorrect or
inaccurate information or documentation submitted may adversely affect the manner in which ABPEA may comply with its obligations.
I shall comply with all the requirements of ABPEA and LGU and that Non-compliance therewith shall be a cause for the immediate cancellation of this permit without prejudice to
charges of fines, penalties and actual damages to the common area.
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STEP 1 STEP 2 STEP 3 STEP 4
FILL OUT THIS FORM PROCEED TO ACCOUNTING FOR PAYMENT SUBMIT TO ADMIN OFFICE FOR APPROVAL RELEASE
Requirements for Delivery: Requirements for Pullout:
• Building/Project Authorized Representative MUST sign the form before
• Photocopy of Delivery Receipt if available
proceeding to ABPEA Admin Office
• Attach the “Green” copy of payment receipt
• Attach Pictures of items to be Pulled out (2 copies)
• Attach a photocopy of gatepass from the Building/General Contractor
• Attach the “Green” copy of payment receipt

F-OM-14 Rev. 1 03/11/2020 Contractor (White), Admin (Yellow)