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Gate Pass

This document is an application format for a vehicle pass for non-employees. It requests information such as the vehicle registration number and make, owner's name and address, type of vehicle, time and date of entry/exit, entry/exit gate, and period for which the pass is required. It also lists required documents to be enclosed like the vehicle registration book, driving license, insurance certificate, and pollution certificate. Applicants must get the application signed by a minimum AGM rank executive and submit it to the In-charge of the Pass Section.

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mukesh
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1K views

Gate Pass

This document is an application format for a vehicle pass for non-employees. It requests information such as the vehicle registration number and make, owner's name and address, type of vehicle, time and date of entry/exit, entry/exit gate, and period for which the pass is required. It also lists required documents to be enclosed like the vehicle registration book, driving license, insurance certificate, and pollution certificate. Applicants must get the application signed by a minimum AGM rank executive and submit it to the In-charge of the Pass Section.

Uploaded by

mukesh
Copyright
© © All Rights Reserved
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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APPLICATION FORMAT FOR VEHICLE PASS ( LCV / 2 WHEELER)

FOR NON-EMPLOYEES
--------------------------------------------------------------------------------------------------------------------------------------
Application No……………………………
To
The In-charge,
Pass Section,

Through: Signature of minimum AGM ranks Executive.

1. Regn. No of Vehicle & make :_______________________________________


2. Vehicle owners name :_______________________________________
3. Type of Vehicle :_______________________________________
4. Vehicle hired by(name of the
individual/Firm) :_______________________________________

5. Present Address(vehicle owners):_________________________________________

____________________________ _____________

__________________________________________

________________________________________

6. Permanent Address(vehicle owners)______________________________________

________________________________________

________________________________________

7. New/Lost /Damaged Gate Pass:__________________________________________


8. Time of entry /exit :___________________________________________
9. Entry /Exit Gate :___________________________________________
10. Period for which Gate pass is required :From______________To________________
11. Contact No. :__________________________________________

Date : Signature of the Applicant

Documents enclosed:

Photocopies duly attested by forwarding authority


i)Vehicle Registration Book iii)Vehicle Insurance Certificate
ii)Driving Licence (If self-driven) iv)pollution under control certificate

Signature of Personnel Officer (Cont. Labour Cell) with Seal


__________________________________________________________________________________
SPACE FOR USE OF CISF

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