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ID BADGE REQUEST FORM

REQUESTER (Manager Level)


COMPANY NASS INDUSTRIAL SERVICES DATE 16/02/2022 PHONE 66710875
NAME HUSSAIN ALI SIGNATURE
POSITION PROJECT COORDINATOR STAMP
TYPE OF REQUEST (tick as requested)
PERMANENT TEMPORARY (1 MONTH MAX) √
AREAS

Blood Group

EMERGENCY
Nationality

Computer
SITE OFFICES
GREEN FIELD

Phone
First Name Last Name Work

LAYDONW

IT ROOMS
Job Title Company Passport C.P.R.

NOGA 1
NOGA 2
AREA
Duration

MOHAMMED ABU TAHER BANGLADESH O+ DRIVER AL HOTY EE0399023 710637640 1 MONTH √ √


PRAKASA PAO INDIA B+ TECHINIAN AL HOTY R2791479 840787464 1 MONTH √ √
SARALDEV DANDAPAT INDIA B+ TECHINIAN AL HOTY V1218253 860448339 1 MONTH √ √
SIVA KUMAR INDIA B+ TECHINIAN AL HOTY S9273276 981129145 1 MONTH √ √

TTSJV Area Representative (FOR SUBCONTRACTORS ONLY) TTSJV Security Manager


Name Position Date Visa Date Visa
Nicholas Jacque Venter-External Digitally signed by
Mohsen Shukri-External
2022.02.16 10:50:21 +03'00' Date: 2022.02.17
08:53:04 +03'00'
RESERVED ACCESS CONTROL OFFICE
Security check completion date Processed by Badge issue date Processed by

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