Adventist University of the Philippines

Puting Kahoy, Silang, Cavite

ENTRY PASS

☐ Employee ☒ Student ☐ Delivery/Service Personnel ☐ Contractor

☐ Parent/Guardian ☐ Visitor ☐ Others, Specify      

Name of Company/Name of Entering person Reygie R. Mata Plate # Wir 727

Address of Origin Lot 70, Cluster G, Bagong Nayon, Antipolo City
Contact Person Reygie R. Mata Contact Number 09171473354 No. of Hours to Stay 1 Sem
Date of Entry 02/02/2022 Time of Entry 11:00 Purpose F2F Class Destination Waling Waling
Dormitory

Companion/s to enter Campus Temp Companion/s to enter Campus Temp

1 Reynold C. Mata       4            

2 Georginia R. Mata       5            
3 Doind Arpon       6            

Requesting Person/Department       Signatur Date Click or tap to

e enter a date.
Approving Personnel       Signatur Date Click or tap to
e enter a date.

PLEASE OBSERVE THE FOLLOWING PROCEDURES:

FOR YOUR CONVENIENCE FILL-UP HEALTH DECLARATION/CONTACT TRACING PRIOR TO ENTRY
1. Present the approved Entry Pass to the guard on duty 5. Fill-up Health Declaration/Contact Tracing Form at the Gate
2. Present any government ID upon entry 6. Bring your own hand sanitizers/alcohol
3. Wear mask and face shield properly at all times. 7. Perform hand washing before starting your work
4. Temperature check at the gate. For temp 37.3 & above NO ENTRY. 8. Limit your activity at designated areas only.

FOR ENTRANCE GATE GUARD ON DUTY:

Date of Entry Time of Entry Number of Persons Entered

Name of Entrance Gate Guard Signature

NOTE: ENDORSE THIS PASS TO THE EXIT GATE GUARD ON DUTY

FOR EXIT GATE GUARD ON DUTY:

Date of Entry Time of Entry Number of Persons Exited

Name of Entrance Gate Guard Signature