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RFID Access Card Application Form

This document is an RFID access card application form for a residential building. It collects information such as the applicant's name, unit number, contact details, and emergency contact. It specifies the card is for new applications, renewals, or lost cards. The applicant agrees all information is true and correct, and failure to present the claim slip and receipt will forfeit the application and payment.

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mina
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465 views1 page

RFID Access Card Application Form

This document is an RFID access card application form for a residential building. It collects information such as the applicant's name, unit number, contact details, and emergency contact. It specifies the card is for new applications, renewals, or lost cards. The applicant agrees all information is true and correct, and failure to present the claim slip and receipt will forfeit the application and payment.

Uploaded by

mina
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

RFID ACCESS CARD APPLICATION FORM

DATE:

ACCESS CARD INFORMATION


OCCUPANCY: PURPOSE:

OWNER NEW APPLICATION

TENANT RENEWAL

IMMEDIATE FAMILY MEMBER LOST CARD

EMPLOYEE (HELPER/DRIVER/ BODY GUARD) REQUIREMENTS:

REPRESENTATIVE NOTARIZED AFFIDAVIT OF LOSS

LOST CARD REPLACEMENT FEE

OR NUMBER:
UNIT INFORMATION
TOWER: UNIT NUMBER: PARKING SLOT NO.:
S
PERSONAL INFORMATION
LAST NAME: FIRSTNAME: MIDDLE NAME:

HOME ADDRESS: MOBILE NO:

EMAIL ADDRESS: TELEPHONE NUMBER: DATE OF BIRTH:

SEX: MALE CIVIL STATUS: SINGLE MARRIED CITIZENSHIP:

FEMALE SEPERATED/DIVORCED/WIDOW/ER

PERSON TO NOTIFY IN CASE OF EMERGENCY


NAME: CONTACT NO: E-MAIL ADDRESS:

TENANCY INFORMATION (FOR TENANTS ONLY)


DATE OF MOVE IN: DATE OF MOVE OUT: CONTRACT DURATION:

I HEREBY CONFIRM THAT ALL INFORMATION STATED HEREIN IS TRUE AND CORRECT. I AGREE THAT FAILURE TO PRESENT THE CLAIM SLIP TOGETHER
WITH THE OFFICIAL RECEIPT (OR) TO THE PROPERTY MANAGEMENT OFFICE SHALL FORFEIT MY APPLICATION AND PAYMENT.

(SIGNATURE)

NOTE: ALL INFORMATION STATED HEREIN SHALL BE KEPT CONFIDENTIAL BY THE CONDOMINIUM CORP. AND THE PROPERTY MANAGEMENT
OFFICE.

OR NUMBER: VERIFIED BY:


NOTE
RELEASE FORM
UNIT NUMBER: TOTAL NUMBER OF RELEASED RFID: ADMIN ASSISTANT REMARKS:

RELEASED BY:

RECEIVED BY:

CLAIM STUB
DATE APPLIED: DATE RECEIVED: UNIT NO:

NAME OF APPLICANT: PROCESSED BY:

NOTE: THIS CLAIM SLIP SHALL BE SURRENDERED ONCE CARD IS AVAILABLE.

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