8/31/23, 4:05 PM CDC - Entry Gate Pass View

FM-CDC-TFD-28
Rev 00

CLARK DEVELOPMENT CORPORATION

TRADE FACILITATION DIVISION (TFD) |ENGP-074309-23E\~
Clark Freeport Zone, Philippines ENTRY GATEPASS Control No.
ENGP-074309-23E

APPLICATION FOR ENTRY GATE PASS (EnGP)

Quantity Unit of Measurement Description of Articles Total Value in PHP

1.00 TL VIBRO SAND 0.0000

Total Amount : 0.0000
APPLICANT : NOEL, E.E. BLACK,LTD.

COMPANY ADDRESS : Pampanga Clark PHILIPPINES 1144

Classification :Foreign Article Domestic Article

Exempt from duties/taxes VAT exempt/NON-VAT VAT Zero rated
Taxes/duties paid Taxes/VAT paid

CFZ ENTERPRISE NON - CFZ ENTERPRISE Port User

Resident Supplier Contractor Service Provider Other, please specify

CFZ STAKEHOLDER : HANN PHILIPPINES INC-WIDUS

ADDRESS : M.A. ROXAS HIGHWAY, CLARK FREEPORT ZONE,PAMPANGA

PLATE NO. :

Intended Use :
[ ] For Company Use [ ] Other Use
Raw Materials For Construction
Office Equipment For Event
Production Equipment For Rental
For Consumption For Delivery
Personal Belongings

Other, please specify

ATTACHMENT :
VIBRO SAND_982568.pdf (Click to View)

CDC BUILDING PERMIT_982569.pdf (Click to View)

Invoice Delivery Receipt

Proof of Ownership Purchase of Order
Certification Other, please specify

BACKLOAD :

With Backload Without Backload

I hereby certify to the truth and accuracy of information in this Entry Gate Pass. Should there be any discrepancies and/or inconsistencies found in this Entry
Gate Pass and its pertinent documents vis-a-vis the actual inspection of the Public Safety Department at the Entry Gates, the undersigned and/or CFZ
Enterprise/ Non enterprise it is representing, including its directors and officers shall be held liable and accountable under pertinent laws and existing CDC ,
BOC and BIR policies

Aug 31, 2023 02:17 PM Cabinum Dahan Noel .

Date Applied Applied by

APPROVAL OF APPLICATION
APPROVAL OF THIS ENTRY GATE PASS SHALL BE SUBJECT TO THE FOLLOWING CONDITIONS:
1. This form in triplicate copies for the following:
1. Compliance with CDC Entry Gate Pass guidelines and procedures.
2. CLOSED VANS ARE REQUIRED TO USE THE MAIN GATE ONLY.
3. Compliance with the inspection at the CDC Entry and Exit Gate pass.
4. CDC-PSD Guards at the Exit Gate reserves the right to inspect backload and articles.
5. THIS ENTRY GATEPASS IS FOR ONE - TIME USE ONLY VALID UNTIL Sep 15, 2023.

CERTIFICATE OF INSPECTION

This hereby certify that above described articles been duly examined at the [ ]Main Gate [ ]Mabalacat Gate [ ]Friendship Gate [ ]Sapang
Bato Gate [ ]Negrito Gate [ ]South SCTEX Gate, and found in order, in view of which of they have been cleared for delivery within the CFZ.

(Date and Time) (PSD Representative)

https://cdc-tfd.com.ph/ENEXGP/EntryGatePassSearch?trigger=ENGPSearch&status=APPROVED&tin=ALL 1/1