Date: _______________________

ACCESS PERMIT REGISTRATION FORM

Note that a prerequisite for processing the application is that the company has signed the Agreement
to Abide by Bylaws and rules of operation.

CONDITIONS FOR USE

1. The applicant must include a copy of their ID & passport photo when returning the form.
2. Access will not be granted to the development without the permit.
3. The Access permit must be worn and always displayed.
4. The access permit must be surrendered to an authorized staff when requested.
5. Lost or stolen permits must be reported to the FM office immediately.
6. Access permits are strictly non-transferable.
7. An access permit does not carry automatic entry -access is only permitted while carrying out
your duties.
8. Authorization may be withdrawn if any access permit appears altered or misused.

I. APPLICATION TYPE

New application Renewal Lost Card Damaged Card

II. COMPANY
 Company Name: ________________________________________________

 Contact Person: _________________________________________________

 Mobile No: _____________________________________________________

 Email Address: __________________________________________________

III. STAFF PERSONAL INFORMATION

 Full Names: ____________________________________________________

 ID Number: ____________________________________________________

 Job Title: ______________________________________________________

 Mobile Number: ________________________________________________

I as the person authorized to sign on behalf of the company confirm that the individual named on this
application is a suitable person to be issued with an Access Permit. I undertake to return this applicant's
access permit to the FM office when it expires or when the applicant ceases employment.

Signature: ________________________ Date: ____________________

For official use only:

Authorized Signature & Name: Access Permit Number:

_________________________________ _______________________

IV. TO BE COMPLETED AT TIME OF ISSUEANCE

The permit holder shall:

1. Make sure to carry the permit.

2. Not block access entry doors or corridors.
3. Refrain from making noise, sitting, or loitering in the corridors and any other common areas.
4. Surrender any lost and found items at the FM office or the reception.
5. Not bring children to the development
6. Not use any common facilities

I hereby acknowledge receipt of my Access Permit

I understand and will comply with the responsibilities of being an access permit holder and accept that
failure to comply with Embassy Gardens bylaws may result in denial of or withdrawal of my access
permit.

Applicant Signature: ______________________________ Date: __________________