Al-Zour Refinery Project

(Contract No.: ZOR/EPC-0055-A - Main Process Units)

TSHJ SOP FOR ENTRY PASS ISSUANCE 1 OF 1
INTP055AZOR-0000-10R-057-TMP06 REV.:1

INTP055AZOR-0000-10R-057-TMP06_Lost Personnel Entry Pass Notification Form

LOST PERSONNEL ENTRY PASS NOTIFICATION FORM

PERSONNEL
NAME SURNAME COMPANY LOST DATE
ENTRY BADGE NO

I lost my Personnel Entry Badge with the number of ............................. on....../....../201 . I hereby
kindly request you to do the needful.

ISSUER RECEIVER

NAME :

SURNAME :

DATE :

SIGNATURE :
(PERSONNEL CHIEF OF RELATED COM PANY)

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