VISITOR FORM VISITOR FORM

No : Date : No : Date :
VISITOR INFORMATION VISITOR INFORMATION
1. Name : 1. Name :
2. Company Name : 2. Company Name :
3. Number of Visitors : 3. Number of Visitors :
4. Contact Number : 4. Contact Number :
5. Purpose :  Meeting 5. Purpose :  Meeting
 Goods Delivery  Goods Delivery
 Others :  Others :

6. Invited by : 6. Invited by :
Visitor's Signature Visitor's Signature

( ) ( )
VISITOR'S RECORD VISITOR'S RECORD
(Part of this section will be filled by the Receptionist) (Part of this section will be filled by the Receptionist)

Date Time (In) Signature Time (out) Signature Date Time (In) Signature Time (out) Signature

Requirements Requirements
*Choose one *Choose one
 ID Card  ID Card
 E-KTP  E-KTP
 Other :  Other :

IMD-FM-GAD-030 IMD-FM-GAD-030