KEY & ACCESS CARD ISSUE FORM Form Code: HSW-F21
HSWAGATA BUDDHA TOOTH RELICS PRESERVATION MUSEUM
KEY & ACCESS CARD ISSUE FORM
Form Code: HSW-F21
Date: ____ / ____ / ______
1. PERSONAL DETAILS
1.1 Name: __________________________________________
1.2 Role: __________________________________________
1.3 Department / Unit: _____________________________
2. ISSUED KEYS / CARDS
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| No. | Key / Card Number | Area or Room | Date Returned |
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| 1 | | | |
| 2 | | | |
| 3 | | | |
| 4 | | | |
| 5 | | | |
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3. CONDITIONS OF USE
I understand and agree that:
- Keys and access cards are for my work duties only.
- I will not lend them to other people.
- I will report loss or theft immediately.
- I will return all keys and cards when my work ends.
4. SIGNATURES
Person Receiving Keys / Cards:
Name: ________________________________________
Signature: ________________ Date: ____/____/____
Issued By (Staff Name): _______________________
Signature: ________________ Date: ____/____/____
For Office Use Only:
All keys / cards returned on:
Date: ____/____/____ Checked By: ____________