153aw Form 10 EAL- Install SPDs.pdf

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Install SPDs
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W50S8W21R0010
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CONTRACTORS ENTRY AUTHORITY LIST

PROJECT NAME:

PROJECT MANAGER: (LAST, FIRST, MI)

START DATE: END DATE:

COMPANY/ORGANIZATION NAME:

REVIEWED BY CE: (LAST, FIRST, MI) REVIEWED BY CE: (SIGNATURE)

AUTHENTICATED BY SFS: (LAST, FIRST, MI) AUTHENTICATED BY SFS: (SIGNATURE) DATE:

NAME: (LAST, FIRST, MI) DOB (DDMMMYY) DRIVERS LICENSE NUMBERSTATE OF ISSUE** MUST BE ALPHABETIZED

PRIVACY ACT STATEMENT: 1. AUTHORITY: USC Title 10, 8013 2. PURPOSE: Used to collect information needed for entry control to the 153d Airlift Wing. 3.

ROUTINE USES: This information will not be disclosed outside the Department of Defense. 4. DISCLOSURE: Voluntary. However, failure to provide information results in the denial of entry to the 153d Airlift Wing.

153AW FORM 10, 20200701 PREVIOUS EDITIONS OBSOLETE

NOTES:

Mail to:153.AW.Entry.Authority.List@us.af.mil

Install SPDs

March 22, 2021 March 22, 2021

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