ACCESS PASS APPLICATION FORM

Pass

TEMPORARY PASS : PERMANENT PASS :

NAME OF THE APPLICANT

CPR NUMBER

EXPIRY DATE (DD/MM/YY)

NAME OF THE COMPANY

ADDRESS OF THE COMPANY

DESIGNATION

DEPARTMENT

PASSPORT NO

EXPIRY DATE (DD/MM/YY)

NATIONALITY

EMAIL ID

GENDER

MALE : FEMALE

SAFETY INDUCTION DONE

yes No

DATE

PHOTO

PASSPORT COPY

VISA COPY

All attached document file size should be 100 kb.

Note:

Each damage/ lost card will be charged BD3.000 for re-issue.

VEHICLE ACCESS PASS APPLICATION FORM

Pass

TEMPORARY PASS : PERMANENT PASS

VEHICLE REGN. NO

INSURANCE NO

EXPIRY DATE (DD/MM/YY)

NAME OF THE COMPANY

ADDRESS OF THE COMPANY

VEHICLE BRAND/ MODEL

VEHICLE COLOR

NAME OF THE AUTHORIZED PERSON (Owner/Administrative Incharge)

EMAIL ID

OWNERSHIP COPY

INSURANCE COPY

Note:

1. Each damaged/ lost card will be charged BD3.000 for re-issue.

2. Applicant has to complete all information required.