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HSE Guidelines - Offshore Safety Passport MY ALL S 08 007 Rev 3 August 2007. PETRONAS CARIGALI Type of Employee: Full Name: Name (to print): Staff / IC / Passport No. Nationality: Blood Group: Carigali of FSHORE SAFETY and Skill Training Combined Offshore Safety Training: Helicopter Underwater Escape: Certificate No: Skill Training 1 Skill Training 2 Skill Training 3 Signature of Applicant Signature
HSE Guidelines - Offshore Safety Passport MY ALL S 08 007 Rev 3 August 2007. PETRONAS CARIGALI Type of Employee: Full Name: Name (to print): Staff / IC / Passport No. Nationality: Blood Group: Carigali of FSHORE SAFETY and Skill Training Combined Offshore Safety Training: Helicopter Underwater Escape: Certificate No: Skill Training 1 Skill Training 2 Skill Training 3 Signature of Applicant Signature
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HSE Guidelines - Offshore Safety Passport MY ALL S 08 007 Rev 3 August 2007. PETRONAS CARIGALI Type of Employee: Full Name: Name (to print): Staff / IC / Passport No. Nationality: Blood Group: Carigali of FSHORE SAFETY and Skill Training Combined Offshore Safety Training: Helicopter Underwater Escape: Certificate No: Skill Training 1 Skill Training 2 Skill Training 3 Signature of Applicant Signature
Droits d'auteur :
Attribution Non-Commercial (BY-NC)
Formats disponibles
Téléchargez comme DOC, PDF, TXT ou lisez en ligne sur Scribd
PETRONAS CARIGALI OF FSHORE SAFET Y P ASSPOR T APPLICA TION FORM
Type of Employee: Carigali Contractor Category Applied A B C D Visitor
New Renewal Replacement Full Name: Name (to print): D.O.B. Sex: M F Staff/IC/Passport No. Race: Nationality: Religion Blood Group: Allergies: BUSINESS Main Contractor Sub-Contractor Contract Expiry: Position Title: Employer:
Address:
Phone No: Fax:
NEXT–OF–KIN PARTICULARS Name:
Address:
Relationship: Phone no:
MEDICAL FITNESS ASSESSMENT AME No: AME Name: Date Examined: Expiry Blood Type: OFFSFHORE SAFETY & SKILL TRAINING Combined Offshore Safety Training: Y N Valid Till: Helicopter Underwater Escape: Y N Valid Till: Certificate No: Skill Training 1 Skill Training 2 Skill Training 3
Signature of Sponsoring Dept, PCSB &
Signature of Applicant Signature of Applicant Manager & Stamp Stamp Name: Name:
FOR HSE DEPT. USE ONLY
Application Reviewed by: Date: Passport Type: A B C D Visitor Valid Until: Issued by: Signed: Date Issued:
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