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    (To Be Filled Up in Capital Letter) : Form No

    Uploaded by

    omprakash pal
    The document is an application form for a new or renewed vehicle gate pass at Nayara Energy Ltd. It requests the issue of a gate pass, providing information like the name of the company/employee, vehicle details, insurance and license information. It certifies that copies of required documents like insurance, registration, driving license, and fitness certificates are attached. The applicant needs to specify which gates the vehicle needs access to and acknowledges the company's vehicle rules like RTO compliance and bans on CNG vehicles. The security department section is to issue the gate pass number if approved.

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    © All Rights Reserved
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    (To Be Filled Up in Capital Letter) : Form No

    Uploaded by

    omprakash pal
    7K views1 page
    The document is an application form for a new or renewed vehicle gate pass at Nayara Energy Ltd. It requests the issue of a gate pass, providing information like the name of the company/employee, vehicle details, insurance and license information. It certifies that copies of required documents like insurance, registration, driving license, and fitness certificates are attached. The applicant needs to specify which gates the vehicle needs access to and acknowledges the company's vehicle rules like RTO compliance and bans on CNG vehicles. The security department section is to issue the gate pass number if approved.

    Original Description:

    Format

    Original Title

    Vehicle Gate pass Format

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    The document is an application form for a new or renewed vehicle gate pass at Nayara Energy Ltd. It requests the issue of a gate pass, providing information like the name of the company/employee, vehicle details, insurance and license information. It certifies that copies of required documents like insurance, registration, driving license, and fitness certificates are attached. The applicant needs to specify which gates the vehicle needs access to and acknowledges the company's vehicle rules like RTO compliance and bans on CNG vehicles. The security department section is to issue the gate pass number if approved.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    7K views1 page

    (To Be Filled Up in Capital Letter) : Form No

    Uploaded by

    omprakash pal
    The document is an application form for a new or renewed vehicle gate pass at Nayara Energy Ltd. It requests the issue of a gate pass, providing information like the name of the company/employee, vehicle details, insurance and license information. It certifies that copies of required documents like insurance, registration, driving license, and fitness certificates are attached. The applicant needs to specify which gates the vehicle needs access to and acknowledges the company's vehicle rules like RTO compliance and bans on CNG vehicles. The security department section is to issue the gate pass number if approved.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 1

    FORM NO: RIMS / Secu / GPMS - Con(P) / R / 008(c)

    (To be filled up in capital letter)


    Date: ____ / ____ /_______
    To,
    Gate pass section
    Security Dept., Nayara Energy Ltd.

    Sub: Application for New Issue / Renewal of vehicle gate pass

    Sir,

    Request to issue the Vehicle gate pass. The required information is given below:

    Name of the Company/Firm: ______________________________________________________________

    Name of Employee/Proprietor ___________________________ Contact no. ______________________

    Employee/ Vendor code: __________________________ *Work order no. _____________________

    Vehicle no. : ____________________ Vehicle Name _____________ Working Dept _________________

    Insurance valid up to: _________________ _____ license no. ____________________________________

    Type of license: __________________ Type of Entry (Own/hired/company) _________________________

    I hereby certify that photo copies of following valid documents have been attached for aforesaid vehicle for which
    gate pass being applied and original are being shown as per security requirements. Also it is under taken that all
    documents are bonafied and no forgery has been done.

    Encl: 1. Insurance 2. RC Book 3. Driving license 4.Fitness certificate (RTO) (for Heavy Vehicles Only) 5.Old Gate
    Pass (For renewal only) 6. Vehicle fitness certificate provided by HSEF (Not applicable for Pool & NN Township
    vehicle)

    Gate allowed:
    (a) Material gate (b) Refinery gate (c) Township gate (d) COT gate (e) ETEG gate
    Please tick whichever applicable
    Note:
    1. In case vehicle used for commercial purpose then RTO formalities must be completed before applying for
    the vehicle pass.
    2. CNG/PNG kit fitted vehicle not allowed in refinery premises.
    3. Existing Vehicle details:-
    Total No of Vehicles Details of vehicles

    Approved by Head of the Department


    Applicant
    (Not applicable for employee & Company own vehicle)
    Signature Signature
    Name Name
    Stamp of SAP No.
    contractor Date

    For use of Security Department

    Date of Issue: _________ Issued GP No.: ___________ Signature of issuing Authority: __________________

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