RPC | Internal

Individuals and Vehicles Permits

For individuals and vehicles with site stay duration not exceeding 15 days

□ Gate 1 □ Gate 2
Other:…………………………………………………………………………………………………………………

The duration of the permit from 24/06/2024 To 24/07/2024

National ID
No. Name Nationality /Iqama/ Passport Expiration date
No
1 Syed Aslam Ahmed Indian 2331914008

2
3
Driving license
M Vehicle type Plat no. Driver’s name
number
1-
2-

Visiting Information

Visiting Purpose D-cool team for HVAC (service team)

Date 24/06/2024 Exact location Plant area

Enter Time 07:00 Departure Time NA

Host Information

Department Maintenance Receptionist Name Syed Kashan Ali

Designation Electrical Engineer Reception Place Workshop

Permit Requester
Name………Kashan Ali…………… …………. Company…………………NOMAC………………………………
Signature…………………………………………… Date: 24…. /…06…. /…………2024………….

For using by the industrial security

Industrial security Officer: …………………………………Signature …………………………………… Date: …… /….……/ …….

Note:
1 – Attach a copy of ID/Iqama/Passport.
2 – Attach insurance certificate, vehicle registration and driver licenses copies to this form.
3 – Please show up the permit for the security man at the main gate.

RTC/HSSE/ NOMAC | PublicFM-005 Rev. 00 Rev. Date: 28 Mar 2022 Page 1 of 1