Name of Requestor ID number Email Address Contact Number Company Name Agenda/Purpose of Visit Date of Visit Date of Visit: Year Year202120222023202420252026202720282029203020312032203320342035203620372038203920402041204220432044204520462047204820492050 Date of Visit: Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Date of Visit: Day Day12345678910111213141516171819202122232425262728293031 Time of Visit Details of Visitor/s: Maximum of 18 guests No Name ID number Contact Number Email Address CERTIFICATION (To be signed by the Requesting Party) THIS IS TO CERTIFY THAT THE REQUESTING PARTY IS DULY INFORMED OF THE ABOVE-CITED REGULATIONS AND HAS SIGNIFIED HIS/HER COMMITMENT OF ADHERANCE BY AFFIXING HIS/HER SIGNATURE BELOW. Sign above I have read and agree to AGCT Security & Safety Regulations. AGCT SECURITY & SAFETY REGULATIONS 1. Present the ID to the guard upon entry. 2. Security verifications will be conducted at rendezvous points (Administration Building or Pass Control Office). 3. Only those listed on the visitor’s form will be allowed to enter the terminal unless a new form is filled out and submitted prior to the scheduled visit. 4. Nobody under the influence of liquor and/or drug will be permitted to enter the terminal. 5. Carrying of deadly weapons is not allowed. 6. Wear the provided PPE while inside the terminal. 7. In case of delays to arrival or any changes on the requested visit, the visit coordinator must be officially advised. I hereby freely give this specific and informed consent for the Processing of my Personal Information in accordance with ICTSI Legal Form Consent. CONSENT To Processing of Personal Information Being a/an applicant, customer or supplier of, or any other third party transacting or dealing with, INTERNATIONAL CONTAINER TERMINAL SERVICES, INC. (“ICTSI”), and/or any of the ICTSI subsidiaries, affiliates, and other related companies (the “ICTSI Group”), affirm that: ICTSI and the ICTSI Group may process information about me in relation to my position. Information processed may include: name, marital status, Tax Identification Number, age, address, education, profession, business experience, business affiliation, family affiliation, number of shareholdings, directorship in other companies, government service, any information from which identity of an individual is apparent or can be reasonably and directly ascertained, whether recorded in material form or not, such as CCTV footages and recordings within ICTSI and ICTSI Group premises and other information which may be considered personal and sensitive personal information (collectively, “Personal Information”) under the Data Privacy Act of 2012. Processing is any operation performed on the Personal Information, such as, but not limited to, collection, retention, disclosure, publication and destruction (“Processing”). The Processing of my Personal Information is for purposes of: Identification in company records and corporate housekeeping; Corporate transactions and business operations; Compliance with the requirements, including reportorial obligations, by the Security and Exchange Commission (SEC), the Philippine Stock Exchange (PSE), Bureau of Internal Revenue (BIR), relevant local government units, and other appropriate government agencies or offices; Maintenance of security within and around the premises Compliance with legal processes or lawful orders of judicial and quasi-judicial bodies, or any other government agencies and instrumentalities; or Any other legitimate business activities of ICTSI. ICTSI and the ICTSI Group may share or disclose my Personal Information to: The SEC, PSE, BIR, relevant local government units, and other appropriate government agencies or offices; Any judicial and quasi-judicial bodies or government agencies pursuant to a lawful order; c) Any customer or port user; Any agent, contractor, consultant, adviser, auditor, underwriters or any service provider ICTSI engages to carry out legitimate business activities or services; Any lenders, creditors, or other counterparties in legitimate business transactions; or Any other persons as may otherwise be considered necessary and appropriate by ICTSI for its legitimate business activities. Those enumerated in Clause 3 above may also need to continue the Processing of my Personal Information for the same purposes enumerated in Clause 2 above and/or other lawful purposes. The Data Privacy Act of 2012 prohibits the Processing of Personal Information without the consent of the data subject, unless required by law. I hereby freely give this specific and informed consent for the Processing of my Personal Information in accordance with the above. This consent is valid while I am a/an applicant, customer or supplier of, or any other third party transacting or dealing with ICTSI. However, I understand that I can withdraw this consent anytime by informing ICTSI in writing. Following the procedure of registering visitors to the port area, it is necessary to send a picture of the front and back of the ID card of all visitors to the e-mail: hsse@ictsi.hr. We will not be able to provide passes for incomplete applications. Thank you for understanding. Following the procedure of registering visitors to the port area, it is necessary to send a picture of the front and back of the ID card of all visitors to the e-mail: hsse@ictsi.hr. We will not be able to provide passes for incomplete applications. Thank you for understanding.
