COLON FREE ZONE CODE 9025-15

COLON SECURITY DIRECTORATE

FREE ZONE
PASS DEPARTMENT
VISITOR VEHICLE PASS APPLICATION

PERSONAL INFORMATION

LAST NAME AND NAME IDENTIFICATION CARD

CITIZENSHIP H.H No.

PLACE AND DATE OF BIRTH

GENERAL INFORMATION

COMPANY WHERE YOU WORK

FULL ADDRESS
CITY STREET AVENUE LOCAL APDO. POSTCARD

POSITION YOU PLAY WITHIN THE COMPANY

PHONE ZONE

DIARY BIWEEKLY
ENTRANCE FREQUENCY
AREA: WEEKLY MONTHLY

REASON

VEHICLE DATA

MODEL YEAR

NO. PASSENGERS PLATE

BRAND COLOR

VEHICLE INSURANCE COMPANY

PERMANENT VEHICLE PASS NO.

The subscriber in his own name or on behalf of the requesting company is obliged to inform THE COLÓN FREE ZONE OF ANY TRANSFER, SALE OR COLLISION OF THE
SAME, THE BENEFICIARY MUST RETURN THE DECAL TO THE PASS DEPARTMENT WITHIN A TERM OF FIVE DAYS . If due to omission or delay the previous notification
is not made, the company will respond to the Colón Free Zone FOR ANY ACT OR MISUSE OF THE PASS that I hereby request. Likewise, THE COLÓN FREE ZONE
RESERVES THE RIGHT TO REPLACE SAID PASS. The driver of the vehicle and all his passengers must carry their respective entry pass when entering the Colón Free Zone
area.

SIGNATURE OF THE BENEFICIARY

FOR ADMINISTRATIVE USE

APPROVED WORTH
EXONERATE PARTICULAR $15.00
D
COLLECTIV $21.00
E
PERMANENT VEHICLE PASS
PERSONAL PASS $13.00

DIRECTOR OR DEPUTY DIRECTOR OF SECURITY

Telephone Central 475-9500 ext. 3106/3107. Tel. Direct 475-9567. Fax

475-9568. Colon free zone. Colon, Republic of Panama

HEAD OF THE PASS

DEPARTMENT