Application For Gate Pass

Comapny name...............
address:......................

Out Duty/Local Duty – Slip


Date:………………

Emp. #........................ Name:…………………………………………………………
(location)
I, am going on Office tour to …………………………… or am going/went on Local official

Out duty at………………………………………for (purpose)……………………………………………………..

period from (date)….……………………to (date)…………………… and

Time from………….am/pm to ………………am/pm.

I will resume my duties on (date)…………………………….time…………………….am/pm.



(Employee’s Sign.) (Authorized Signatory)
Date:

Copy: Accounts Dept./HR Dept.
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