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Gate Pass Form

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Pintu Sarkar
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0% found this document useful (0 votes)
922 views4 pages

Gate Pass Form

Uploaded by

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

Sr. Mgr. (Finance ) Pay (Exe/Non-Exe)


SAIL-ISP, Burnpur.

Through Proper Channel

RE: Authorization for recovery of amount towards gate pass


Sir,
I hereby authorize you to kindly deduct an amount of Rs 40/-(Rupees forty only)
from my salary for the payment of fee towards updation of Damaged/ Lost/ New Photo
Identity Card.

Thanking You,
Yours faithfully,

Date:
Name:-
P. No:-
Designation:
Department:

To,
Sr. Mgr. (Finance ) Pay (Exe/Non-Exe)
SAIL-ISP, Burnpur.

Through Proper Channel

RE: Authorization for recovery of amount towards gate pass


Sir,
I hereby authorize you to kindly deduct an amount of Rs 40/-(Rupees forty only)
from my salary for the payment of fee towards updation of Damaged/ Lost/ New Photo
Identity Card.

Thanking You,
Yours faithfully,

Date:
Name:-
P. No:-
Designation:
Department:
STEEL AUTHORITY OF INDIA LTD.
IISCO STEEL PLANT- BURNPUR
Application for Non- Executives Photo Gate Pass-Cum- Vehicle Pass
To, Application No:- ………….......................
The In-Charge, Pass Section Photo Identity No:-NE……………………
CISF Unit, SAIL-ISP, Burnpur.
Thro’ Signature of Minimum Sr. Mgr. Rank Executive

1. Name of the Employee :

2. Father’s/Husband’s Name :

3. P. No :

4. Designation :

5. Department :

6. Present Address :

7. Permanent Address :

8. Date of Birth :

9. Sex (Tick in Appropriate Box) : Male ( ) Female ( )


10. Identification Mark :

11. New/Lost/ Damaged Gate Pass :

12. Blood Group :

13. Regn. No. & Make of own


2(two) wheeler Vehicle :

14. Emergency Contact Number :

Date:……………………. Signature/LTI of the Employee


Documents Enclosed

Photo Copies duly attested by forwarding authority


1) Driving License 3) Vehicle Tax Certificate
2) Vehicle Registration Book 4) Vehicle Insurance Certificate
5) Pollution Certificate 6) CISF Temp. Vehicle Pass
7) ID-Card

Verified by

Specimen Signature of Employee Specimen Signature of Issuing Authority

SPACE FOR USE OF CISF

STEEL AUTHORITY OF INDIA LTD.


IISCO STEEL PLANT- BURNPUR
Application for Non- Executives Temporary - Vehicle Pass
To, Application No:- ………….......................
The In-Charge, Pass Section Photo Identity No:-NE……………………
CISF Unit, SAIL-ISP, Burnpur.
Thro’ Signature of Minimum Sr. Mgr. Rank Executive

15. Name of the Employee :

16. Father’s/Husband’s Name :

17. P. No :

18. Designation :

19. Department :

20. Present Address :

21. Permanent Address :

22. Date of Birth :

23. Sex (Tick in Appropriate Box) : Male ( ) Female ( )


24. Identification Mark :

25. New/Lost/ Damaged Gate Pass :


26. Blood Group :

27. Regn. No. & Make of own


2(two) wheeler Vehicle :

28. Emergency Contact Number :

Date:……………………. Signature/LTI of the Employee


Documents Enclosed

Photo Copies duly attested by forwarding authority


3) Driving License 3) Vehicle Tax Certificate
4) Vehicle Registration Book 4) Vehicle Insurance Certificate
5) Pollution Certificate 6) CISF Temp. Vehicle Pass
7) ID-Card

Verified by

Specimen Signature of Employee Specimen Signature of Issuing Authority

SPACE FOR USE OF CISF

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