Attachment 6. Base Access Request EAL.xlsx

XLSX spreadsheet 25 KB Posted

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Repair Beacon Beach Road, Tyndall AFB, FL
Solicitation number
FA481922R0021
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BACKGROUND CHECK

325 CES XXXX 20220214

SCOTT, JAYLEN D SrA USAF ACC 325 SFS/S-3OA: SCOTT, JAYLEN D SrA USAF ACC 325 SFS/S-3OA:

BASE AGENCY

Date
Security ManagerName/Contact InfoContractor
CompanyLast, First MIDOB (YYYYMMDD)

SCOTT, JAYLEN D SrA USAF ACC 325 SFS/S-3OA: SCOTT, JAYLEN D SrA USAF ACC 325 SFS/S-3OA:

EX:19991215 SSN (###-##-###)

SCOTT, JAYLEN D SrA USAF ACC 325 SFS/S-3OA: SCOTT, JAYLEN D SrA USAF ACC 325 SFS/S-3OA:

Full social with dashes xxx-xx-xxxx UNIT (325 CES) SCOTT, JAYLEN D SrA USAF ACC 325 SFS/S-3OA: SCOTT, JAYLEN D SrA USAF ACC 325 SFS/S-3OA:

BASE AGENCY DL / State ID Number State / Place of Issuance Sex (M/F) Place of Birth (City / State or Country) US Citizen (Y/N) *Passport/USCIS#

DBIDS PERMISSIONS

PERMISSIONS
LAST, FIRST MISIDE(S) OF BASE (TAFB ALL or SOUTHSIDE)

SCOTT, JAYLEN D SrA USAF ACC 325 SFS/S-3OA: SCOTT, JAYLEN D SrA USAF ACC 325 SFS/S-3OA:

TAFB ALL or SOUTHSIDE DAYS SCOTT, JAYLEN D SrA USAF ACC 325 SFS/S-3OA: SCOTT, JAYLEN D SrA USAF ACC 325 SFS/S-3OA:

Ex: Mon-Fri HOURS LITTLE, KRISTIN K GS-07 USAF ACC 325 CES/CCS: LITTLE, KRISTIN K GS-07 USAF ACC 325 CES/CCS:

Ex: 0600-1800 ESCORT (Y/N) SCOTT, JAYLEN D SrA USAF ACC 325 SFS/S-3OA: SCOTT, JAYLEN D SrA USAF ACC 325 SFS/S-3OA:

Will they need to escort others onto the installation? EXPIRATION (MM/DD/YY) SCOTT, JAYLEN D SrA USAF ACC 325 SFS/S-3OA: SCOTT, JAYLEN D SrA USAF ACC 325 SFS/S-3OA:

EX: 01-DEC-2021 UNIT (325 CES)

SCOTT, JAYLEN D SrA USAF ACC 325 SFS/S-3OA: SCOTT, JAYLEN D SrA USAF ACC 325 SFS/S-3OA:

BASE AGENCY

TAFB ALL Wednesday 0900-1300 N 5/6/21 325 CES

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