GATE PASS FORM
Control No. _______
Date: _______________
This is to authorize the undersigned to bring out from the National Headquarters (6th
Floor) the following :
Quantity Item Description Remarks
Purpose: __________________________________
Estimated date item/s will be returne:________________________
Date returned: _________________ Time: ____________________
Requested By:
_________________________
Approved by: Position:
Noted by:
Manager
Date /Time: _________
___________________________________________________________________________
RETURN SLIP: Control No._________
Quantity Item Description Remarks
Returned by: ____________________
Printed Name/Signature
Date: ______________Time: _______________