Endorsement For Issuance of SBMA ID

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Departmental Quality Form

ENDORSEMENT OF REQUEST FOR LAD-EMD-ID


Rev. No. 05
RESIDENT ID/ GATE PASS TO OFFICE Effectivity Date: 08-07-2017

SERVICES DEPARTMENT

Control No. LADD-ID-2020-_____________

To be filled out by SBMA Lessee/Resident/Authorized Representative

Type of Request (pls. check): NEW RENEWAL


TEMPORARY COMPUTERIZED

NAME OF REGISTERED LESSEE/RESIDENT: __________________________________________


LEASED PROPERTY: __________________________________________, Subic Bay Freeport Zone

Complete Name Gender Present Address Position Validity


(Pls. indicate if present address (Resident, Period
is outside SBFZ) Caretaker…) (should be not
more than one
year)

ATTACHED REQUIREMENTS (Please check)

_____ Letter request from the lessee/resident/authorized representative (if not present)
_____ Sublease Contract/Deed of Assignment (if not yet submitted to LADD)
_____ Duly filled up OSD Info Sheet
_____ 1 2x2 photo
_____ Previous SBMA ID/Gate pass (for renewal)
_____ Updated Insurance Policy of the Unit with Policy ID No. ________________
_____ NBI/Police Clearance (for caretakers, drivers, and other house workers)
_____ Certification of No Outstanding Obligation from Accounting Department
(the same may be confirmed via telephone call to the said department)
_____ Certification from developer if housing unit is managed by a housing developer

________________________________
Signature over Printed Name of Lessee/Resident/Representative
----------------------------------------------------------------------

For LADD Use Only

Date and Time Received: ____________/_____________

Recommendation: The above request is found in order and may be favorably endorsed to
the Office Services Department for issuance/renewal of SBMA Resident ID/Gate Pass.

Certified Correct by: Reviewed by: Approved for Endorsement by:

NENITA R. SARMIENTO MELISSA G. AGUSTIN CARLITO B. FAUSTINO


Engineering Assistant OIC, EMD Department Manager

----------------------------------------------------------------------
Releasing of Endorsement:
Received by: ____________________________________
Date and Time of Released: ____________/_____________
SUBIC BAY METROPOLITAN AUTHORITY
LAND AND ASSET DEVELOPMENT DEPARTMENT
Building 332, Burgos Street, Subic Bay Freeport Zone, 2222 Philippines
 Tel: +6347 252.4147/4409  Fax: +6347 252.4715

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