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company name

address
MATERIAL OUT WARD GATE PASS
SECURITY GUARD Dated:
Please check and allow to take out the following material from centre.
Gate Pass No:
S. No. VENDOR ITEM/ SERIAL NO. Qty PURPOSE
1

10

11

12

13

14

15

Authorized By
Taken By:
Designation:
Goods/items Checked as per above list and found Correct.

Signature;________________

Status: Returnable / Non Returnable

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