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FMD-F-11-02.44.1.

TEMPORARY PASS
(For renovation works less than 1 month or 22 working days)
To : RIOmonte Date : Nov.20,2023
Resident's Name : Dr. Scion Mangubat Work Duration (No. of days) : 4 Days
Address : Block 25 Lot Riomonte Nuvali Canlubang Calamba Laguna From: Nov.21,2023 To: Nov. 24,2023
SCOPE OF WORK/S : Automation of Swing Gate, Installation

This is to request the issuance of temporary pass/es to the following worker/s.


1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

1 Serafin Estalane JR ✓ ✓ ✓ ✓ ✓
2 Grald Egbal ✓ ✓ ✓ ✓ ✓
3 John Christian Magcawas ✓ ✓ ✓ ✓ ✓
4 Miguel Baldeviso ✓ ✓ ✓ ✓ ✓
5 Mark Magcawas ✓ ✓ ✓ ✓ ✓
6 Mark Justine Abacsa ✓ ✓ ✓ ✓ ✓
✓ ✓ ✓ ✓ ✓
7 Ross Salonga
✓ ✓ ✓ ✓ ✓
8 Jhun Isole ✓ ✓ ✓ ✓ ✓
9 Eric Fernandez ✓ ✓ ✓ ✓ ✓
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15 Initials of Guard-On-Duty:
Note:
1. Temporary Pass is issued for a maximum
of one(1) month or twenty two (22) working days
2. Requirements:
a. Accomplished ID Application Form
b. 1x1 ID Picture
c. Police Clearance or Brgy. Clearance Resident/Authorized Representative BE / Property Manager
3. Guard-On-Duty shall check boxes upon entry of worker/s on designated day (s).
Copy 1 - Owner/Contractor Copy 2 - Administration Copy 3 - Security

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