AFAB Control No.
Republic of the Philippines
THE AUTHORITY OF THE FREEPORT AREA OF
BATAAN
The Freeport Area of Bataan
Mariveles, Bataan 2106, Philippines EXGP-20240500765-24I
DATE APPLIED: 2024-05-16
APPLICATION FOR PERMIT TO EXIT GATEPASS
APPLIED BY: NAME AND ADDRESS OF SUPPLIER:
I/We hereby certify that the data and other information contained in this application are true RRF CONSTRUCTION
and correct and that the exit of the goods into the FAB is for the purpose stated and in
accordance with applicable government rules and regulations. 159 J ESCALADA STREET PTO RIVAS, ITAAS BALANGA CITY
BATAAN
AUTHORIZED OFFICIAL NAME AND SIGNATURE:
ROCHELLE ALABANZA
COMPANY NAME:
GNPOWER DINGININ LTD. CO.
QUANTITY UNIT OF DESCRIPTION OF ARTICLES TOTAL VALUE (USD) TOTAL VALUE (PHP)
MEASUREMENT
1 UNIT Transit Mixer _Owned by Service Provider 0.00 0.00
0.00 0.00
DOCUMENT REFERENCE NUMBER BACK LOAD
Gatepass dated May 14, 2024, ENGP-20240500599-24I
With Back load
Without Back load
DRIVER AND VEHICLE DETAILS
If with back load:
Driver's Name: Driver's License No:
REGGIE FURIO C02-06-000092 Load Description:
Vehicle Type: Vehicle Plate No:
CBJ 1662 Quantity: 0
PURPOSE ATTACHMENT VALIDITY
CONSTRUCTION MATERIAL INVOICE
BORROWED PROOF OF TAX EXEMPTION (if applicable) APPROVAL DATE: 2024-05-16 16:48:49
TRADING DELIVERY RECEIPT
CONSUMPTION CERTIFICATE OF OWNERSHIP (if applicable) VALID UNTIL: 2024-06-15 16:48:49
WHOLESALE
OTHERS (please specify)
VALIDATED BY
ALLYSA VIANZON
________________________________________ DARYNN KAYE LAFORTEZA
________________________________________
FREEPORT FACILITIES DEPARMENT (if applicable) ENTERPRISE ASSISTANCE DIVISION
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GNPOWER DINGININ POWER PLANT PROJECT GNPD 03 00 1 BPA XXXXX 0
BRING-IN/BRING-OUT PERMIT APPLICATION
x1.0: Bring-in/Bring-out Permit Application
Date of Application: 5/14/2024
Supplier Name: RRF CONSTRUCTION
Supplier Address: 159 J ESCALADA STREET PTO RIVAS, ITAAS BALANGA CITY BATAAN
Driver’s Name: REGGIE FURIO
Licence Number: C02-06-000092
Vehicle Type: Transit Mixer
Purpose: PULL OUT
Vehicle Plate Number: CBJ 1662
If Other, please specify:
Document Ref. Number:
(Invoice No., Scrap Sales
Form No., etc.)
84
2.0: Item Information
Unit of
Item Description Quantity Declared Value
Measure
Transit Mixer 1 Unit 0
3.0: Bring-in/Bring-out Planned Date Mgrs. Initials
GNPD 03 00 1 TEM 50153 0 - Effective Date 2020.10.01 Page 1 of 2
GNPOWER DINGININ POWER PLANT PROJECT GNPD 03 00 1 BPA XXXXX 0
BRING-IN/BRING-OUT PERMIT APPLICATION
Planned Bring-in Date: 05/13/2024
Planned Bring-out Date: 05/15/2024
4.0: Attachments Mgrs. Initials
1 GNPD Gate Pass N/A
2 GNPD Bring-in/Bring-out Letter OK
First pdf file:
3 SEPC Gate Pass (Clear English Version) N/A
4 Copy of Contract OK
5 Copy of GNPD Letter of Authority (Export/Import Equipment/Material) OK
6 Copy of AFAB Letter of Authority (Export/Import Equipment/Material) N/A
1 Proof for Declaration Value (Original Invoice, Commercial Invoice, Valid Receipt) OK
2nd pdf file:
2 Photos of Equipment/Materials declared loaded on current vehicles OK
3 Proof or Certificate of Ownership N/A
Note - Requesting Mgr. to email completed form and verified attachments to logistics@gnpowerdinginin.com 5 working days before AFAB approval is required
GNPD 03 00 1 TEM 50153 0 - Effective Date 2020.10.01 Page 2 of 2
