Kpa Port Pass Form – Fill Out and Use This PDF

Kpa Port Pass Form is a specialized document that is vital to ensuring successful passage through various ports around the globe. It acts as a verification of identity to guarantee the security of both personnel and cargo alike. Boasting an extensive set of downloadable forms and resources, Kpa Port Pass Form empowers safety initiatives while encouraging efficient travel and expeditious turnaround times. Through its integrated support meetings, port visit elements, and official authorization details, rigorous logistics are simplified allowing fast access to secure ports around the world. This one simple form reliably verifies confidence every step of the journey.

Kpa Port Pass Form PDF Details

Are you looking for a simple and efficient way to access service information, track data, and view customer details? Then KPA's Port Pass Form is the perfect solution for your organization. This form provides an easy-to-use interface that allows users to quickly access the necessary tools needed to submit their port pass requests effortlessly. With this form and its many features such as commitment of safety, privacy protection, electronic signature capability, ease of use, fast response time and integration with existing systems; all your logistics needs will be fulfilled efficiently. Keep reading to learn more about how this powerful system can help simplify your operations!

Question	Answer
Form Name	Kpa Port Pass Form
Form Length	2 pages
Fillable?	No
Fillable fields	0
Avg. time to fill out	30 sec
Other names	kifwa movement pass application form, kpa port pass form, port pass application, portpass application form

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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:
			Postal Address:		Postal Code:	City:
				Email Address:
	Mobile Number (Include Country Code):			Email Address:

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:			Country 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	Company	Hired Vehicle	Government
If yes please provide Reg. No.		Own Vehicle	Vehicle	Hired Vehicle	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

How to Edit Kpa Port Pass Form Online for Free

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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:

1. While filling out the kpa port pass application form, be certain to incorporate all of the important blank fields in the associated part. It will help speed up the work, which allows your details to be processed promptly and appropriately.

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

People often make some errors when completing Declaration to be signed by in this area. Ensure that you double-check whatever you type in here.

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Kpa Port Pass Form – Fill Out and Use This PDF

Kpa Port Pass Form PDF Details

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