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RISAL FACILITY LOCKDOWN PASS

Name

Staff No. Department

From Vehicle Door


Date
To No.

Destination(s)

Time
Time Leaving
Entering/Returnin
the Facility
g to Facility

Division Manager’s
Company Stamp
Signature

Disclaimer:

 This pass is not valid without the Division Manager’s signature.


 This pass is not to be used as curfew pass.
 Only one person per pass is allowed. Multiple persons in the pass will not be
accepted.
 Holder of the pass must have their temperature checked upon
entering/leaving the facility. No temperature check – No pass.
 For any issues or questions, please refer to the department’s coordinator.

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