GATE PASS GATE PASS
Date:_________________________ Time:________ Date:_________________________ Time:________
Name: _____________________________________ Name: _____________________________________
Strand/Course & Section: _____________________ Strand/Course & Section: _____________________
Reason: Reason:
___________________________________________ ___________________________________________
___________________________________________ ___________________________________________
___________________________________________ ___________________________________________
Adviser Name and Signature Adviser Name and Signature
GATE PASS GATE PASS
Date:_________________________ Time:________ Date:_________________________ Time:________
Name: _____________________________________ Name: _____________________________________
Strand/Course & Section: _____________________ Strand/Course & Section: _____________________
Reason: Reason:
___________________________________________ ___________________________________________
___________________________________________ ___________________________________________
___________________________________________ ___________________________________________
Adviser Name and Signature Adviser Name and Signature
GATE PASS GATE PASS
Date:_________________________ Time:________ Date:_________________________ Time:________
Name: _____________________________________ Name: _____________________________________
Strand/Course & Section: _____________________ Strand/Course & Section: _____________________
Reason: Reason:
___________________________________________ ___________________________________________
___________________________________________ ___________________________________________
___________________________________________ ___________________________________________
Adviser Name and Signature Adviser Name and Signature