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ZTG Temp Other Gate Pass Request Format

This document provides a format for requesting a temporary gate pass for contractual workers or other organizations at Bokaro Steel Plant. It includes fields to provide details of the contractor/vendor organization, gate pass period, subcontractor if applicable, principal employer, and personal details of individuals requiring a gate pass such as name, gender, ID number, address, date of birth, father's name, city, state, mobile number, bank account details. The contractor must provide an undertaking that the listed workers are Indian citizens with no criminal record and will not pose a security risk. The bottom section is for Bokaro Steel Plant to record the gate pass request number and approval signatures.

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Bhavik Dhami
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3K views2 pages

ZTG Temp Other Gate Pass Request Format

This document provides a format for requesting a temporary gate pass for contractual workers or other organizations at Bokaro Steel Plant. It includes fields to provide details of the contractor/vendor organization, gate pass period, subcontractor if applicable, principal employer, and personal details of individuals requiring a gate pass such as name, gender, ID number, address, date of birth, father's name, city, state, mobile number, bank account details. The contractor must provide an undertaking that the listed workers are Indian citizens with no criminal record and will not pose a security risk. The bottom section is for Bokaro Steel Plant to record the gate pass request number and approval signatures.

Uploaded by

Bhavik Dhami
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as PDF, TXT or read online on Scribd
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BSL FORMAT FOR TEMPORARY (Contractual Worker) & OTHER ORGANIZATIONS GATE PASS (ZTGP)

Request to be made by Contractor / Vendor


Organization Detail : Vendor Code : ________________ Vendor Name : ____________________________________________________
Gate Pass Period : From ___/___/20___ To ___/___/20___ WO/PO/DO/AGT No : ________________________________ Date : ___/___/20___
Subcontractor Detail : SC Vendor Code : ___________ SC Name: _____________________ SC Address : _____________________________________
Principal Employer : BSL [ ] / HSCL [ ] / BPSCL [ ] / INOX [ ] / BPSCL [ ] / OTHER [ ]
Details of Persons for Gate Pass :
Sl Name Grade M/F IP No City State Night DocTyp:IP/PAN ID Mobile Bank Name Account
(For Worker) Permit VoterID/Aadhar mark number
Catg Address DOB Gate Father’s Name PIN Country Sunday / Doc No Blood Aadhar Branch
W/O Holiday Group
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BSL FORMAT FOR TEMPORARY (Contractual Worker) & OTHER ORGANIZATIONS GATE PASS (ZTGP)
Request to be made by Contractor / Vendor

UNDERTAKING BY THE FIRM :


में प्रमाणित करता हॉ की ऊपर सचीबद्ध सभी कामगार भारतीय नागररक है और उन्हें सबको मैं ब्यक्तिगत रूप से जानता हॉ 1 इन सभी का ककसी भी प्रकार का
अपराधिक मामऱा ककसी भी पुधऱस स्टे शन में ऱॊक्तबत नह ॊ हैं 1 उन सभी को SAIL/ BSL के अन्दर कायय में ऱगाने हे तु SAIL/ BSL सुरऺा के धऱए कोई खतरा
नह ॊ आएगा 1 अगर इन के कायय अविी में ककसी प्रकार असुरऺा उत्पन्न होती हैं तो इसके धऱये में स्वयॊ णजम्मेदार रहॉ गा 1

Proprietor/Contractor Details -- Name : _____________________________ Signature : ________________________ Seal of Firm :

Help for Grade in case of Others:


DRIVER, HELPER, HSW1, HSW2, HSW3, JR-EXEC, PARTNER, PROPRIETOR, SR-EXEC, SUP-SPL, SUPPLIER, TECH-SPL

PHOTO COPIES OF FOLLOWING DOCUMENTS TO BE SUBMITTED AT CISF BY CONTRACTOR/CONTRACT LABOUR :


For Contract Labour : For Others :
1. ID Proof as per Gate pass request. 1. ID Proof as per Gate pass request.
2. Bank A/C Pass Book.
3. Medical Fitness certificate

THIS PART TO BE FILLED BY BOKARO STEEL PLANT :

Engineer In Charge : Safety Department :

Gate Pass Request Number : _________________________ Signature of Safety officer : _________________________

Engineer in Charge Signature : _________________________ Name of Person : _________________________

Engineer in Charge Name : _________________________ Mobile Number : _________________________

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