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Gate Pass

The document is a gate pass template used for tracking the dispatch or return of materials and equipment. It includes fields for the name, date, vehicle details, and a checklist for various items with options for their status. Additionally, it requires signatures from the head and the guard on duty for verification.

Uploaded by

Rowinde
Copyright
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222 views1 page

Gate Pass

The document is a gate pass template used for tracking the dispatch or return of materials and equipment. It includes fields for the name, date, vehicle details, and a checklist for various items with options for their status. Additionally, it requires signatures from the head and the guard on duty for verification.

Uploaded by

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

Gate Pass

Name: _____________________________________ Signature:__________________


Date & Time:___________________ Vehicle Name: ______________
Service: ______________________

Materials/Equipment (Mark x for the items/status for dispatch or mark ✔ for the items/status to be returned)

Tool Box Set A Set B Flyers ______ pcs.

Vacuum A B Laundry Basket ______ pcs.

Power Spray A B Tarpaulin Guidelines ______ pcs.

Cleaning Agents Sulfamic acid ______ pack/s LG Banner ______ pcs.


Citric acid ______ pack/s

Others (please specify):________________________________________________________


Status

To be returned For dispatch/delivery For transfer _____________

Released by: Checked by:

_____________________ ____________________
Head Guard on duty

Gate Pass
Name: _____________________________________ Signature:__________________
Date & Time:___________________ Vehicle Name: ______________
Service: ______________________

Materials/Equipment (Mark x for the items/status for dispatch or mark ✔ for the items/status to be returned)

Tool Box Set A Set B Flyers ______ pcs.

Vacuum A B Laundry Basket ______ pcs.

Power Spray A B Tarpaulin Guidelines ______ pcs.

Cleaning Agents Sulfamic acid ______ pack/s LG Banner ______ pcs.


Citric acid ______ pack/s

Others (please specify):________________________________________________________


Status

To be returned For dispatch/delivery For transfer _____________

Released by: Checked by:

_____________________ ____________________
Head Guard on duty

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