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Site Access Request
This form is for people who requiring site access
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* Indicates required question
First Name
*
Your answer
Last Name
*
Your answer
Job Title
*
Your answer
Company
Your answer
Car Plate Number
Plate Number of the Car requiring site access.
Your answer
Status
*
Visitor
Contractor
New Employee
Other:
Access Type
*
Single Day Access
Short Term Access
VIP Visitor
Other:
Restricted Areas Requested
*
Camp Verga
BAM Canteen
Export Facility
Causeway
Mining Support Area (MSA)
Mining
Other:
Required
Host Department
*
Choose
Community & Environment
Operations
Finance & Administration
Health & Safety
Information Technology
Camp & Services
Logistics
New Business
Port
Security
Technical Services
Mining
Human Resources
Other
Host/Manager Email
Your answer
Access Start Date
*
MM
/
DD
/
YYYY
Arrival Time
*
Time
:
AM
PM
Access End Date
*
MM
/
DD
/
YYYY
Departure Time
Time
:
AM
PM
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