Kpa Port Pass Form PDF Details

Navigating the intricacies of accessing port facilities requires adherence to specific protocols, as outlined in the Kpa Port Pass form, a crucial document for individuals needing entry to Kenya Ports Authority (KPA) locations. With sections dedicated to personal details, port access requirements, and a declaration, the form serves as a comprehensive application for those seeking permission to enter, whether as employees, government agents, port users, contractors, or pensioners. Applicants are compelled to provide not only their basic information but also details pertaining to their job and the reason for their request for access, underlining the importance of security and proper identification within port operations. The procedure mandates submission in a clear and presentable manner, with a stipulated waiting period to inquire about application status, emphasizing KPA's diligent approach to security. Furthermore, the form includes explicit guidelines on card usage within port premises, such as the necessity to display the card at all times and the procedures to follow if a card is lost, highlighting the stringent measures in place to ensure the safety and security of port operations. The document underscores the authority of KPA to regulate access through the issuance, restriction, or denial of movement/access cards, encapsulating the structured process individuals must navigate to gain entry into the port area.

QuestionAnswer
Form NameKpa Port Pass Form
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other nameskifwa movement pass application form, kpa port pass form, port pass application, portpass application form

Form Preview Example

PERSONAL DETAILS:

Please select one of the Port Movement Card types:

Mrs/Mr/Miss/Ms

First Name:

(please circle)

 

Gender:

Date of Birth:

ID/Passport

Number:

Telephone Number (Include Country Code):

Port Movement/Access Card Application Form

Applications must be completed in NEAT AND LEGIBLE hand writing and in black or blue ink

All completed application forms should be returned to the KPA Port Pass Office located at the KPA Headquarters, Operations Block

Please allow 3 5 working days before checking on the status of your application on +254 41 211 32 69

KPA Employee

Government Agency

Port User

KPA Contractor

Pensioner

 

Middle Name:

 

Last Name:

 

 

 

 

 

Nationality:

 

 

 

 

 

 

Postal Address:

 

Postal Code:

City:

 

 

 

 

 

 

 

 

 

Email Address:

 

 

 

Mobile Number (Include Country Code):

 

 

Physical Residential Address (Include Name of Road, Street & Estate /Mtaa):

City

County/State

Country

 

Have you ever applied received a KPA Movement/Access Card? YES/ NO (please circle)

If yes, please provide the Card No.:

 

 

 

 

 

 

 

 

 

Issuing Authority:

 

 

Country of Issue:

 

 

Date of Issue:

 

 

 

 

 

 

 

 

 

 

PORT ACCESS REQUIREMENTS:

 

 

 

 

 

Employer:

 

 

Job Description:

 

 

Reason Access is requested:

 

 

 

 

 

 

Employer Address (Postal)

Street:

Building:

 

City

Postal Code:

 

Do you have a Vehicle? YES/NO (please circle)

 

Company

 

Government

 

 

 

Own Vehicle

Hired Vehicle

 

If yes please provide Reg. No.

 

Vehicle

Vehicle

 

 

 

 

 

AUTHORISING PERSON AT PARENT COMPANY (applications without signature WILL NOT be processed)

Name:

Position:

Signature:

Contact Number:

Declaration (to be signed by applicant)

1.I declare that the information contained within this application and any attachments is true and correct and that if I willingly omit or provide information that is false I will be denied access to all KPA facilities and KPA can initiate legal action against me.

2.I have read and understood the attached regulations relating to KPA Movement/Access Card use on page 2 of this document.

3.KPA reserves the right to restrict or deny access to any KPA facility if operational needs of access cannot be established by the applicant

.

PAUMENT METHOD

PAYMENT METHOD

Signature: ___________________________ _________________________________ Date: _____/______/______

OFFICE USE ONLY

Application received: ______________

Input By : ____________________ KPA Movement/Access Card No. : ______________________

Access Group: ____________________ Access Privileges (Controlled or Restricted): ______________________Date of Issue:

 

/

/

 

 

 

 

 

 

 

 

Form R13

KENYA PORTS AUTHORITY MOVEMENT/ACCESS CARD GUIDELINES

1.Cards MUST BE DISPLAYED AT ALL TIMES while in the Port Facility. Cards cannot be shared or borrowed.

2.Any lost cards are to be reported immediately to KPA Security +254 721 970 440. Lost cards can be replaced at a fee and on producing a valid Kenya Police Services Abstract.

3.Cards MUST BE USED at all times to enter and exit the Port Facility.

4.Users MUST USE their card every time they enter and exit the port, even if they are a passenger in a vehicle.

5.Vehicles must enter the access gate area ONE AT A TIME.

6.Pedestrians MUST ENTER the Port Facility using PEDESTRIAN ACCESS GATES and keep to designated walkways within the Port Facility.

7.Any person who does not have a KPA Movement/Access Card and wishes to enter the Port Facility MUST make prior arrangements with the Port Security Office and give 48 HOURS notice to facilitate his/her registration of a Port Movement/Access Card as required.

8.No person shall be authorized to access the port unless they are engaged in legitimate port related business.

9.You must only access the port with the KPA Movement/Access card associated to the parent company on whose behalf you are employed and for the purpose stated thereof by your employer as reason access is required in the application form R13. Should you engage in any other business other than what is stated, YOU AND YOUR employer shall be held fully accountable and this will result but not limited to having your ACCESS CARD

WITHDRAWN AND CANCELLED IMMEDIATELY.

10.The KPA Movement/Access Card remains the property of KPA and it can be withdrawn by the issuing authority without any notice and whenever deemed necessary.

IMPORTANT

Any person failing to comply with the condition of entry and proximity card usage will have their access rights from the port area withdrawn.

Kenya Ports Authority constantly monitors its Port Facilities 24HRS via security cameras.

Footage taken from camera operations is compliant for use as court evidence.

Breaches of the above conditions constitute Criminal Offences under the Constitution of Kenya and prosecution under the Laws therein may follow.

Fines of up to KES.50,000.00 apply for non-compliance with Port Security requirements.

Derek Hagstrom

Port Security Officer

May 2012

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This form will require particular data to be filled in, hence be certain to take the time to fill in precisely what is requested:

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Find out how to fill in portpass application form stage 1

2. The next step is usually to fill in all of the following blanks: Name, Signature, Declaration to be signed by, Position, Contact Number, I declare that the information, information that is false I will, I have read and understood the, KPA reserves the right to, PAUMENT METHOD, PAYMENT METHOD Signature, Date, OFFICE USE ONLY Application, Input By KPA Movem entAccess, and Access Group Access Privileges.

Stage number 2 in submitting portpass application form

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