Form Doc. No.

SOD/ PETT/ F/ 03

Registration Form for Staff ID Card Effective Date

Revision no.

SECURITY PASS STUDIO

LEVEL 11, TOWER 1
PETROLIAM NASIONAL BERHAD PETRONAS TWIN TOWERS
REGISTRATION FORM FOR STAFF ID CARD TEL : 03 2331-2177/1513

A: PERSONAL PARTICULARS (in capital letters)

NAME STAFF NO
OLD IC NO NEW IC NO
PASSPORT NO POSITION
COMPANY
DIVISION
DEPARTMENT H/PHONE NO
WORK LOCATION LEVEL COST CENTRE
B: EMERGENCY ADDRESS
CONTACT NAME RELATIONSHIP
HOME PHONE NO H/PHONE NO
RESIDENTIAL ADDRESS

(For Non-Malaysian, please enter

Address in country of origin)

For Non Malaysian only

TEMPORARY ADDRESS
(Please enter your Malaysia Address)

C: REASONS FOR REQUEST. PLEASE MARK ‘X’

CARD NOT
NEW STAFF / NEW CARD CARD IS LOST
FUNCTIONING

OTHERS (please specify)

D: TYPE OF CARD REQUESTED. PLEASE MARK ‘X’

 STAFF

i: PERMANENT ii: CONTRACT iii: STUDENT

 TEMPORARY WORKER VISITOR

 EMERGENCY OTHERS
(please specify)

Contract Staff only (Enter Date)

Commencement Of Service Termination Of Services

APPLICANT’S SIGNATURE DEPARTMENT MANAGER’S SIGNATURE DEPARTMENT MANAGER’S STAMP

Form Doc. No. SOD/ PETT/ F/ 03

Registration Form for Staff ID Card Effective Date

Revision no.

E: STAFF ID CARD RULES AND REGULATIONS

1. PROCEDURES FOR FILLING IN THE STAFF ID FORM
A. The form must be filled up in full, with capital letters, and must be countersigned by Department Manager and above.
B. The Department Manager will bear full responsibility when granting staff access to designated security areas such as the
Data Centre Room, Tenders and Contracts Floor and etc.
C. The completed forms has to be submitted to the Group Security at Level 11 Tower 1, while those who at the other location
outside than the PETRONAS Twin Towers, should deliver the completed form to their respective Security Department.
D. Please bring a copy of your offer letter.

2. RULES AND REGULATIONS FOR USING THE STAFF ID CARD

A. The Staff ID Card must be worn at all times around the neck using the security necklace, or clipped onto shirt pocket,
whenever in and within the vicinity of PETRONAS premises.
B. The Staff ID Card must be kept in good condition.
C. The Staff ID Card must not be used by others or be used for others, and the owner of the card is responsible for any
liabilities due its misuse.
D. For staff at PETRONAS Twin Towers, please report the loss of your Staff ID Card to the Group Security , Level 11, Tower 1 or
call 03 2331 5454/ 03 2331 2177 at once, in order to avoid any misuse of the loss card by others. For those who have loss
their cards and are working in areas outside of PETRONAS Twin Towers, please report the loss at once to the respective
Security Department.
E. Please note that a charge of RM 80.00 will be incurred to replace each lost or damaged card.
F. If one happens to forget one’s Staff ID Card to the workplace, a TEMPORARY Card will be issued.
G. For those who are no longer in PETRONAS employment, or have been transferred to other offices outside the current
location, the Staff ID Card must be returned to the appropriate Security Department which processed your registration
forms.

3. HOW TO USE THE STAFF ID CARD

A. The card must be batched at to the card reader on the turnstiles which are located at the lobbies, and to the card readers
located at the work areas. Please hold your card at least 2 inches away from the reader and hold it for at least 2 seconds.
B. You can only enter through the turnstile once the green light on the card reader flashes.
C. To exit the premises, push the exit button at the side of the entrance to unlock the doors.
D. To exit the turnstile, please batch to the card reader on the turnstiles.

4. EMERGENCY PROCEDURES
A. During an emergency, the system will be shut down and all doors will function manually.
B. Please press the exit button to open doors which are still locked.
C. If the door remains locked, one needs to break the glass of the green box, located next to the door entrance.

F: FOR OFFICE USE ONLY

START DATE OF EMPLOYMENT DATE OF CARDS SUBMISSION

START TIME EMPLOYMENT CARD CARDS SUBMISSION TIME

ACCESS CODE CARD SERIES NUMBER

NAME PRINTED ON THE CARD

(10 characters only, including the space between the name)

When Receiving Card

I have read and understood the rules and regulations, and hereby agree that I will abide accordingly.

APPLICANT’S SIGNATURE / DATE : SECURITY PERSONNEL’S SIGNATURE