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  • Access Pass Form Application: Type Name Company / Agency Facility/Substation Purpose

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    Nile Uy
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    This document is an application for an access pass at an unspecified facility. The applicant, Athella Ramona Psalmaine M. Moris, is applying for either a new, renewal, or replacement pass. She works as a clerk support for PRDC. The document lists the requirements for issuing an access pass depending on the applicant's position, such as endorsement letters, identification documents, and clearances. It also includes a privacy statement giving the security department permission to access the applicant's records for issuing the pass. The completed form will be processed and approved by security personnel.

    Original Description:

    Original Title

    2021-Access-Pass-Form-ver-9-1

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    This document is an application for an access pass at an unspecified facility. The applicant, Athella Ramona Psalmaine M. Moris, is applying for either a new, renewal, or replacement pass. She works as a clerk support for PRDC. The document lists the requirements for issuing an access pass depending on the applicant's position, such as endorsement letters, identification documents, and clearances. It also includes a privacy statement giving the security department permission to access the applicant's records for issuing the pass. The completed form will be processed and approved by security personnel.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    56 views1 page

    Access Pass Form Application: Type Name Company / Agency Facility/Substation Purpose

    Uploaded by

    Nile Uy
    This document is an application for an access pass at an unspecified facility. The applicant, Athella Ramona Psalmaine M. Moris, is applying for either a new, renewal, or replacement pass. She works as a clerk support for PRDC. The document lists the requirements for issuing an access pass depending on the applicant's position, such as endorsement letters, identification documents, and clearances. It also includes a privacy statement giving the security department permission to access the applicant's records for issuing the pass. The completed form will be processed and approved by security personnel.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 1

    PHOTO 2x2

    White Background

    ACCESS PASS FORM APPLICATION


    AUGUST 9, 2021
    Date: _____________________

    Type : [ ] New [ ] Renewal [ ] Replacement of Access Pass


    Name ATHELLA RAMONA PSALMAINE M. MORIS
    : ____________________________________________________________
    Company / Agency PRDC
    : ____________________________________________________________
    Facility/Substation N/A
    : ____________________________________________________________
    Purpose EMPLOYMENT
    : ____________________________________________________________

    : [ ] Security Guard [ ] Driver [ ] Contractor


    Position
    [ ] Skilled Worker [ ] Janitor [ ] CLERK SUPPORT
    Others: ___________________

    Requirements for Issuance of Access Pass


    CONTACTED SECURITY CONTRACTUAL/SERVICES
    CONTRACTOR PERSONNEL
    OFFICER/GUARD PERSONNEL
    ( ) Endorsement Letter from Security ( ) Endorsement Letter from Head, CSFMD ( ) Endorsement Letter from Project
    Agency Manager, duly noted by or Project Proponent/Manager Proponent/Manager
    concerned SLS
    ( ) Access Pass Form Application ( ) Access Pass Form Application ( ) Access Pass Form Application
    ( ) Personal History Statement Form ( ) Personal History Statement Form ( ) Personal History Statement Form
    ( ) 2pcs latest colored 2x2 Picture in uniform ( ) 2pcs latest colored 2x2 Picture in ( ) 2pcs latest colored 2x2 Picture with
    w/o gear company uniform White Background
    ( ) Photocopy of NBI and Police Clearance ( ) Photocopy of updated NBI and Police ( ) Photocopy of updated Barangay
    Clearance Clearance (Work Duration 15 Days
    ( ) Photocopy of unexpired Security License ( ) Photocopy of unexpired Driver’s License below)
    ( ) Photocopy of latest Neuro Certificate (For Driver Only) ( ) Photocopy of updated NBI or Police
    ( ) Photocopy of latest Drug Test Result Clearance (Work Duration: 16 Days
    above)
    *Applicant with incomplete requirements will not be process.

    PRIVACY & CONSENT STATEMENT

    “By filling up and signing this form, I agree that my Access Pass records may be used for the purposes of issuance of Access Pass of the Corporation
    and can only accessed by the authorized Security Department Personnel. I understand that my data will be secured in accordanc e with the laws
    and company policies and it will not be disclosed to third parties except when necessary for the above-stated purposes.”

    To be filled-up by Security Department Personnel Only

    Access Pass No.:_________________________ Date Issued:_________________________________

    Processed by: Approved by:

    WILLY P. JAZMIN, GSC, MPM, CSP


    Security Staff, Sr. Associate and Security HOOD and NL Security Manager
    Lead Specialist

    Rev. 9

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