visitor – EMAMI AGROTECH

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Note: This pass is for visitation only. It does not permit any work or services on site. Not valid as a working pass .

Visitor Pass Request for Haldia Plant

Visitor's Image(Required)

Max. file size: 5 MB.

Name(Required)

Visitor's Email(Required)

Phone(Required)

Emergency Contact(Required)

Gender(Required)

Blood Group(Required)

Type of Visit(Required)

Aadhaar(Required)

Visit Date(Required)

DD slash MM slash YYYY

Visit Time(Required)

Hours

:

Minutes

Have Car(Required)

Driver's Name(Required)

Driver's Aadhaar(Required)

Area to Visit(Required)

Want to Meet with(Required)

Do you have Industrial helmet & safety shoe?(Required)

Required Shoe Size(Required)

Agreement to Safety Guidelines(Required)

I have read and agree with below guidelines.

👤 Wear your visitor badge at all times.
➡️ Stay within authorized areas and follow your host or guide.
📋 Follow all on-site instructions from safety personnel or signage.
🚭 No smoking, open flames, or prohibited items are allowed on premises.
⚠️ Report any unsafe condition or incident immediately to your host or safety personnel.
Emergency Protocol
🔊 Emergency Siren Pattern:
3 siren blows
5-second gap between each blow
❗ This indicates a need for immediate evacuation or response.
🚶‍♂️ Please remain calm and follow your host or emergency personnel to the nearest emergency assembly point.

Signature(Required)