LAMAN DESARU COAST

CARD ACCESS AND CAR/MOTORCYCLE STICKER REGISTRATION

Name Mobile No
PERSONAL DETAILS

Address

IC / Passport No
Vehicle Type Car Motorcycle Model :_________________ Reg. No

Company Name Mobile No

DETAILS
WORK

Position House No

Level 1 Boom Gate 1

Level 2 Boom Gate 1 + Staff Transport Access

CARD ACCESS LEVEL

Level 3 Staff Transport Access

Level 4 Boom Gate 1 + Boom Gate 2 + Staff Transport Access

Level 5 Boom Gate 1 + Boom Gate 2

Level 6 Boom Gate 1 + Boom Gate 2 + Office Access

Level 7 Boom Gate 1 + Office Access

CAR / MOTORCYCLE

Car Valid Road tax Valid Insurance

STICKER

Motor Cycle
Valid Road Tax Valid Insurance
ACCEPTANCE

Received By :

Date :

Issued by :
FOR OFFICE USED

Signature : ……………………………………………………………………………

Name ……………………………………………………………………………

Date : …………………………………………………………………………….

OU Residents with
OU Residents without vehicle & taking
Level 1 - Vendors Level 2 - OU Non Residents Level 3 - Level 4 - vehicle & taking staff
staff transport
transport
OU Residents with vehicle & not
Level 5 - Level 6 - DH1 Staff Residents Level 7 - DH1 Staff Not Residents
taking staff transport