FMD-F-11-02.13.1.
Control No.: _______________
MATERIALS/EQUIPMENT GATE PASS FORM
(DELIVERY)
Bearer: _________________________________ Building: _______________
Owner/Tenant/Contractor: _____________________ Date: __________________
Reason for transfer: ______________________________________________________________________
______________________________________________________________________________________
To be filled out by security
QUANTITY DESCRIPTION ACTUAL COUNT REMARKS
Prepared by: Cleared/Inspected by:
_________________________________ _____________________
Owner/Tenant/Contractor Representative Security Guard
Verified by: Date & Time Released:
____________________ _____________________
Security Officer
Approved by: Location:
___________________________________ _____________________
Property Manager/Building Engineer
Rev.02
APMC is not liable for any damage and loss of properties caused by the transferring in or out of the items.
Copy 1 – Tenant/Owner/ Contractor representative; Copy 2 – Security; Copy 3 – Property Manager