P L E A S E W R I T E / P R I N T C L E A R LY
T O AV O I D D E L AY, D O N O T L E AV E A N Y B L A N K S O N T H I S
FORM
1. PERSONAL DATA
FIRST NAME S h i n e t t e G r a c e
MIDDLE NAME M e n o r
LAST NAME d e l a C r u z
ENDORSEMENT
Endorsing herewith Application for Security Pass of our Vendor Employee / Consultant / OJT with the following
employment-related information:
POSITION / DESIGNATION DURATION OF CONTRACT
Admin Assistant December 31, 2019
GROUP/DIVISION/DEPT/SECTION PLACE OF ASSIGNMENT(FOR TGT
Marketing INCLUDE FLOOR &WORK
STATION NO.)
23/Floor SIGNATURE OVER PRINTED NAME / ID
#
(PROPONENT or REQUISITIONER)
NOTICE
1. The SECURITY PASS is issued to Vendor Employees/Consultants/OJTS whose
duration of contract/training is at least one and a half (1 1/2) months.
2. It shall be returned to Security Office upon its expiration and/or upon the expiration of the
contract/training. Cardholder c/o the VENDOR PARTNER / AGENCY shall be charged a
Recovery Fee (Php250.00 for RFID type; Php 50.00 for laminated type) for every loss
of Security Pass. In case where the Security Pass is not returned by the at the end of
the contract/training, the Recovery Fee shall be charged to the VENDOR PARTNER /
AGENCY of the Vendor Employee. Payment shall be made thru GCash or at any Globe
Telecom cashier.
FOR SECURITY OFFICE USE ONLY RECEIVED BY: DATE DUE ON: