Form No.
F/R-PX2000-43
ACCESS CARD REQUEST FORM
Date:
Application Type: NEW REPLACEMENT
Additional resident Lost
Tenant Damaged
Name of Unit Owner
Bldg & Unit No. / Village, Phase, Block & Lot No. Parking Slot No. Contact No.
Card Number
Name of Assignee Relationship with Unit Owner
(forPMO use)
REMINDERS:
1. Incomplete details on this application may delay processing of your request. Release of access card(s) may take _______ working days. You shall be notified once the
access card(s) is ready for pick-up.
2. New access cards cost Php ______/card
By signing this Access Card Request Form, I hereby consent to the collection and processing of my personal data and other individuals identified herein, in accordance
with such Privacy Policy as may be adopted by _____________________________ and the Data Privacy Act of 2012. I further agree to be contacted by the representatives of
_____________________________ regarding any matter relating to my residence in the condominium as well as on latest developments in _____________________________. I
signify my conformity to the foregoing and certify that all information provided above are true and correct.
Requested by: Approved by: To be filled-out by Property Management Office
Payment for access cards
Amount Paid
Date Paid
Printed name and signature of Unit Printed name and signature of
Owner/Authorized Representative Building Manager O.R. #
Date: ________________________ Date: ________________________
ACKNOWLEDGEMENT
In signing this acknowledgement, I recognize that this card will grant the bearer access to my unit and parking slot through _______________________________'s elevators. As
such, this card’s safekeeping shall be my responsibility and loss or damage to this card will be reported immediately to the Administration Office.
I further acknowledge that I am aware that:
1.) Electronic access to the building is monitored and logged. Usage reports may be reviewed by the Property Management Office. Data will be kept strictly confidential.
Should a unit owner wish to secure a copy of the logs, the Property Management Office may require a formal request letter and impose documentary requirements.
2.) The access card is for use only of the designated assignee and shall not be lent or given without proper notification to the Property Management Office. This is to ensure
that personal details encoded are kept up to date.
3.) Unit owners leasing their unit are responsible for retrieving the access cards of their guests and tenants or requesting for deactivation of these cards upon termination of
lease.
4.) Household staff assigned access cards must be properly registered at the Property Management Office. Their employer / resident of ___________________________ shall
be responsible for retrieving these cards upon termination of employment or requesting for deactivation of these.
5.) The unit owner and his or her assignees for access cards shall not loan, transfer, give possession, modify, alter, or make a copy of the issued access cards. The assignee
shall notify the Property Management Office immediately if an access card is lost or is suspected lost. Cards found to be used for unauthorized access to the building for
commercial purposes shall be deactivated.
6.) Possession of the access card shall not signify authorization from the unit owner for the bearer to access the unit nor the amenities. The Property Management Office
reserves the right to verify authorization granted by the unit owner or resident to the bearer.
7.) Delinquent unit owners and their tenants with assigned access cards shall have their cards suspended until settlement of their arrears.
The Property Management Office reserves the right to suspend or deactivate access cards should the bearer violate any of the above stated rules.
This is to acknowledge that I have received _______ pc(s) of access cards for my unit.
Received by: Released by:
Printed name and signature of Unit Owner/Authorized Printed name and signature
Representative
Date: