QCS5000SAPCNA102_e1_Att2,7_9安全计划书附件

QCS/50/00/SA/PC/NA/102Attachment - 2

PERSONNEL ID CARD APPLICATION No

** (yyyy/mm/dd)Photograph

** (yyyy/mm/dd)

Subcon

(Refer to Subcontractor Code Table)

Name

(within 5 digits)

Date of Safety Induction

**Confirmed by:

Date

Date of Birth (yyyy/mm/dd)Blood Group Status :

Passport No. Date of Expire Residence Permit No.Date of Expire

Visa No.

Date of Expire

Sponsor Name

Nationality Trade

(Refer to Craft Code Table)

License or Certificate Experience Physical Condition:

Medical Card Ref. No..Date of Expire

Remarks *Address

Tel No.

*Emergency Contact

Name Address Tel No.

**Date of Re-issued 1

1. Lost

2. Damaged

3. Others

2 1. Lost 2. Damaged3. Others

3 1. Lost 2. Damaged3. Others

**Date of Return

*Not applicable for Subcontractors

**Fill in by SHSE when issued or returned of ID card

Man https://www.wendangku.net/doc/29291162.html,st Name

Reason Hamad Medical Corp. No. :

Public Health Center No. :DATE ISSUED

VALIDITY DATE Code Name

S

Craft Code Staff or Worker LTSC Code/Name

Middle Name

Authorized by:

First Name

Sex :

Age :