Access Card Request Form

Formulir Permintaan Kartu Akses

Company Name/ Nama Perusahaan:
Floor/ Zone
Lantai/ Zona:
Date of Submission / Tanggal Pengajuan :

Reason of Request/ Alasan Permintaan:

Employee’s Name/ Nama Pegawai:

Requester Name/ Nama Peminta:

Request Access Area/ Permintaan Area Akses:

Authorized Access Time/ Otorisasi Waktu Akses:

( ) Weekdays, Monday to Friday ( ) Weekend, Saturday to Sunday

( ) 07.00 WIB – 20.00 WIB ( ) At All Time

Please submit this form to Building Management on the 3rd Floor

Berikan Formulir ini Kepada Badan Pengelola di Lantai 3

Submit By / Diajukan Approved by / Disetujui

Tenant Building Management

Cc : Chief Engineering
Chief Security
Tenant Relation