Visitor Registration Form · Delta Prima Metering Sdn Bhd

For safety and security, all visitors to Delta Prima Metering Sdn Bhd must register before entering the premises. Fields marked * are required.

Semua pelawat wajib mendaftar sebelum memasuki premis. Ruangan bertanda * adalah wajib.

Visitor Particulars

Maklumat Pelawat

Full name (as per MyKad / Passport) * Nama penuh

Identification type * Jenis pengenalan

MyKad number * No. pengenalan

Nationality * Warganegara

Mobile number * No. telefon bimbit

Email (optional) E-mel

Company / Organisation (optional) Syarikat / Organisasi

Designation (optional) Jawatan

Visit Details

Butiran Lawatan

Date of visit * Tarikh lawatan

Purpose of visit * Tujuan lawatan

Person to meet (optional) Pegawai yang ingin ditemui

Department * Jabatan

Accompanying persons Bilangan pengiring

Vehicle plate no. (if parking) No. pendaftaran kenderaan

Vehicle type Jenis kenderaan

Declaration of Items, Health & Safety

Perisytiharan Barangan, Kesihatan & Keselamatan

Items brought into the premises (tick if any) Barangan yang dibawa masuk

Laptop / Komputer riba Camera / Kamera USB / External storage Tools / Peralatan Hazardous material / Bahan berbahaya

Item description / serial no. (optional) Keterangan / no. siri

Health declaration. I am in good health and do not have fever, cough or any contagious illness. Saya sihat dan tidak mempunyai demam, batuk atau penyakit berjangkit. Safety & security rules. I will wear my visitor pass at all times, stay with my host, follow safety signage and PPE requirements, not take photographs without permission, and proceed to the assembly point during an emergency. I will return my pass when leaving. Saya akan mematuhi peraturan keselamatan dan memulangkan pas pelawat semasa keluar.

Personal Data Consent & Signature

Persetujuan Data Peribadi & Tandatangan

Personal Data Protection Notice (PDPA 2010)

In accordance with the Personal Data Protection Act 2010, Delta Prima Metering Sdn Bhd collects the personal data in this form for visitor management, premises security, health and safety, and emergency evacuation purposes. Your data will only be accessed by authorised personnel, will not be disclosed to third parties except where required by law, and will be kept for 12 months before secure disposal. To access or correct your data, contact pdpa@contoh.com.my.

Selaras dengan Akta Perlindungan Data Peribadi 2010, data anda dikumpul untuk tujuan pengurusan pelawat, keselamatan dan kecemasan sahaja.

I have read the notice above and consent to the processing of my personal data. I declare that the information given in this form is true and correct. Saya bersetuju dan mengaku bahawa maklumat yang diberikan adalah benar.

Visitor signature * Tandatangan pelawat

Sign here with your finger or mouse

Date: 30/09/2026

For Office Use Only / Untuk Kegunaan Pejabat

Visitor pass no.
ID verified
Time in
Time out
Officer

After submitting, show your reference number and MyKad / passport at the reception counter.