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International Innovative Industries

GATE PASS

Date: / /
Employee Name:

Computer #:

Dept/ Section:

Employee Signature :

Purpose of going out:

Sign:Department Manager

To be filled by security in-charge:

Time (Out) Time (In)

N.B. This form will be used as an authorization for workers to leave his work place to outside factory premises during working
hours; and after completing the process, this form should be return to admin office for record.

Form:INN-HR-FR-16 Rev 0 dated 30.04.2019

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