Attachment_b_BaseAccessPassDBIDSCard.xlsx
XLSX spreadsheet 39 KB Posted
- Attached to
- Overhaul Caisson DD2 at CFAS Federal contract opportunity
- Solicitation number
- N4008420B6502
About this file
This document contains a sample base access pass form and instructions for obtaining a base access pass for a federal facility in Japan, as well as details of a solicitation for overhaul work on a caisson dry dock at that facility.
The sample base access pass form provides instructions and templates for contractors to obtain a Defense Biometric Identification System card or paper pass to access a naval base in Sasebo, Japan. It outlines the personal information required, work details, sponsoring organization, and privacy statement. The second document is a solicitation to perform two construction sequences involving overhaul of hydraulic systems and caisson dry dock number two. The work must be completed on one sequence at a time and is subject to discussion with the contracting officer. The solicitation is issued by the Department of the Navy's Naval Facilities Engineering Command for the contract period specified.
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Text version
DBIDS CARD-PAPER PASS
| APPOINTMENT DATE : | TIME: | DATE RECEIVED: BY: | |
| DBIDS CARD / PAPER PASS | |||
| LAST (姓) | FIRST (名) | MIDDLE |
| DOB (生年月日):MM/DD/YYYY | GENDER (性別) | NATIONALITY (国籍) | |||
| MALE / FEMALE (circle) | |||||
| DRIVER'S LICENSE NO. | ID TYPE : | DBIDS NO. | |||
| ID NO : | |||||
| HAIR COLOR (髪の色) | EYE COLOR (目の色) | HT (身長/Ft.In.) | WT (体重/Pounds) |
| CURRENT ADDRESS / 現住所(英語及び漢字) | |
| / | |
| PERMANENT ADDRESS FOR JAPANESE ONLY / 本籍地(日本人のみ) |
| PLACE OF BIRTH (出生地) : | / | ||
| 🏣郵便番号/ZIP CODE | MOBILE OR HOME NO. (携帯電話/自宅) | EMAIL ADDRESS |
COMPANY NAME (申請者の所属会社) WORK PHONE NO. (勤務先の電話)
| TIME (入門時間) FROM ~ TO | DAYS OF WEEK (入門曜日) | DATE OF ENTRY ( 申請期間) | ||||||||||||
| 08:00 | ~ | 13:00 | S / M / T / W / T / F / S (circle) | / | / | ~ | / | / | ||||||
| MAIN CONTRACTOR (元請会社): | ||||||||||||||
| PHONE NO (電話番号) : | CONTRACT PERIOD (契約期間) | |||||||||||||
| CONTRACT NO (契約番号) : | N4008420B6501 | 11/14/19 | ~ | 11/14/19 | ||||||||||
| CONTRACT TITLE (契約名称): | Maintenance Dredging PH-1, Juliet Basin, at the CFAS, Japan | |||||||||||||
| ACCESS AREA (行先) | ||||||||||||||
| 1. MAIN BASE 2. M/B HOUSING 3. HARIO HOUSING 4. FIDDLER'S GREEN 5. M/B PIERS | ||||||||||||||
| 6. AKASAKI 7. IORIZAKI 8. YOKOSE 9. MAEBATA ORD 10. HARIOSHIMA ORD (circle) | ||||||||||||||
| SPONSORING ORGANIZATION (スポンサー部署) | SPONSOR'S NAME (TYPE) | |||||||||||||
| NAVFAC FE OWD SASEBO ACQ BRANCH | Masayo Sonoda, Contract Specialist | |||||||||||||
| SPONSOR'S E-MAIL : | masayo.sonoda.ja@fe.navt.mil | SPONSOR'S SIGNATURE | ||||||||||||
| SPONSOR'S PHONE NO : | 0956-50-2394 | |||||||||||||
| PRIVACY ACT STATEMENT | ||||||||||||||
| Collection of this is authorized by the Privacy Act, U.S.C. Section 552(a). The information will be used to process Base Pass. | ||||||||||||||
| The information on this form may be disclosed to the third parties in accordance with the provision of 5 U.S.C. Section 552(b). | ||||||||||||||
| Completion of this form is voluntary; however, failure to provide the information requested may preclude the processing of Base Pass | ||||||||||||||
| PASS COORDINATOR (パスコ-ディネ-タ-) | PASS & ID OFFICE | |||||||||||||
| NAME & PHONE NO : | ||||||||||||||
| DATE RETURNED : BY | CONFIRMED BY : | |||||||||||||
| TRANSMITTAL / FILE NO : | DATE TRANSFERRED : |
200-2, 20190306
SAMPLE FOR DBIDS CARD-PAPER PAS
| APPOINTMENT DATE : | TIME: | DATE RECEIVED: BY: | |||||||||||||||||
| DBIDS CARD / PAPER PASS | 佐世保 | 400 | ち | 9876 | |||||||||||||||
| LAST (姓) | FIRST (名) | MIDDLE | |||||||||||||||||
| ① BEIGUN 米軍 | TARO 太郎 | ||||||||||||||||||
| DOB (生年月日):MM/DD/YYYY | GENDER (性別) | NATIONALITY (国籍) | |||||||||||||||||
| ② 10/27/1979 | MALE / FEMALE (circle) | JAPAN | |||||||||||||||||
| DRIVER'S LICENSE NO. | ID TYPE : | ④PASS PORT | DBIDS NO. | ||||||||||||||||
| ③92045674XXXX | ID NO : | ④ KR23321243 | ⑤ | ① | 日本名がある場合は、横に記入 | ||||||||||||||
| HAIR COLOR (髪の色) | EYE COLOR (目の色) | HT (身長/Ft.In.) | WT (体重/Pounds) | ② | 日付は 月 / 日 / 西暦 で記入 | ||||||||||||||
| BLACK | BROWN | ⑥5'10" | 152 | ③ | 運転免許証の番号を記入 | ||||||||||||||
| CURRENT ADDRESS / 現住所(英語及び漢字) | ④ | 運転免許証が無い場合、証明書の種類と番号を記入 | |||||||||||||||||
| XXXX HIRASE-CHO, SASEBO-CITY / 佐世保市平瀬町xxxx | ⑤ | 所持しているパスがあれば記入 | |||||||||||||||||
| PERMANENT ADDRESS FOR JAPANESE ONLY / 本籍地(日本人のみ) | ⑥ | フィート、インチで記入(別表参照) | |||||||||||||||||
| XX-XX AKASAKI-CHO, SASEBO-CITY / 佐世保市赤崎町xx-xx | ⑦ | 長崎県以外の場合は都道府県から記入 | |||||||||||||||||
| PLACE OF BIRTH (出生地) : | ⑦ / URESHINO-CITY, SAGA PREF. / 佐賀県嬉野市 | ⑧ | 必項なので、無い場合、フリーメール等で良いので作成する。 | ||||||||||||||||
| 🏣郵便番号/ZIP CODE | MOBILE OR HOME NO. (携帯電話/自宅) | EMAIL ADDRESS | |||||||||||||||||
| 857-1234 | 090-1234-xxxx / 0956-23-xxxx | ⑧beigun.t@jjj.jp | |||||||||||||||||
| COMPANY NAME (申請者の所属会社) | WORK PHONE NO. (勤務先の電話) | ||||||||||||||||||
| ABC COMPANY | 0956-50-xxxx | ||||||||||||||||||
| TIME (入門時間) FROM ~ TO | DAYS OF WEEK (入門曜日) | DATE OF ENTRY ( 申請期間) | |||||||||||||||||
| 0800 | ~ | 1645 | S / M / T / W / T / F / S (circle) | 1/31/19 | ~ | 1/31/20 | |||||||||||||
| MAIN CONTRACTOR (元請会社): | SASEBO KENSETSU | ||||||||||||||||||
| PHONE NO (電話番号) : | 0956-XX-XXXX | CONTRACT PERIOD (契約期間) | |||||||||||||||||
| CONTRACT NO (契約番号) : | N012345-14-XXXX | 1/31/19 | ~ | 10/31/21 | |||||||||||||||
| CONTRACT TITLE (契約名称): | BEIGUN CO. | ||||||||||||||||||
| ACCESS AREA (行先) | |||||||||||||||||||
| 1. MAIN BASE 2. M/B HOUSING 3. HARIO HOUSING 4. FIDDLER'S GREEN 5. M/B PIERS | |||||||||||||||||||
| 6. AKASAKI 7. IORIZAKI 8. YOKOSE 9. MAEBATA ORD 10. HARIOSHIMA ORD (circle) | |||||||||||||||||||
| SPONSORING ORGANIZATION (スポンサー部署) | SPONSOR'S NAME (TYPE) | ||||||||||||||||||
| JED SASEBO RESIDENT OFFICE | JAMES J. JOHNSON, LT, USN | ||||||||||||||||||
| SPONSOR'S E-MAIL : | johnson.j@jjj.jp | SPONSOR'S SIGNATURE | |||||||||||||||||
| SPONSOR'S PHONE NO : | 0956-50-XXXX | ||||||||||||||||||
| PRIVACY ACT STATEMENT | |||||||||||||||||||
| Collection of this is authorized by the Privacy Act, U.S.C. Section 552(a). The information will be used to process Base Pass. | |||||||||||||||||||
| The information on this form may be disclosed to the third parties in accordance with the provision of 5 U.S.C. Section 552(b). | |||||||||||||||||||
| Completion of this form is voluntary; however, failure to provide the information requested may preclude the processing of Base Pass | |||||||||||||||||||
| PASS COORDINATOR (パスコ-ディネ-タ-) | PASS & ID OFFICE | ||||||||||||||||||
| NAME & PHONE NO : | |||||||||||||||||||
| DATE RETURNED : BY | CONFIRMED BY : | ||||||||||||||||||
| TRANSMITTAL / FILE NO : | DATE TRANSFERRED : |
200-2, 20190306
・PAPER PASSの申請で車両乗入が必要な場合
・DBIDS CARD所有者で30日以内の車両パスが
必要な場合に記入する。
申請の種類に応じて、DBIDS CARDか
PAPER PASS のどちらかに〇をつける。
SAMPLE
HEIGHT.WEIGHT CONVERSION CHARTS
| Appendix A Height and Weight Conversion Charts | ||||
| Weight-Conversion Chart: | Height-Conversion Chart | |||
| (2.2045 pounds = 1 kg) | (.39370 inches = 1 cm) | |||
| Weight in kilograms | Converted to pounds | Height in centimeters | Height in feet | Height in inches |
| and inches | ||||
| 35 | 77 | 122 | 4 feet 0 inches | 48 |
| 37 | 82 | 124 | 4 feet 1 inches | 49 |
| 39 | 86 | 127 | 4 feet 2 inches | 50 |
| 41 | 90 | 130 | 4 feet 3 inches | 51 |
| 43 | 95 | 132 | 4 feet 4 inches | 52 |
| 45 | 99 | 135 | 4 feet 5 inches | 53 |
| 47 | 104 | 137 | 4 feet 6 inches | 54 |
| 49 | 108 | 140 | 4 feet 7 inches | 55 |
| 51 | 112 | 142 | 4 feet 8 inches | 56 |
| 53 | 117 | 145 | 4 feet 9 inches | 57 |
| 55 | 121 | 147 | 4 feet 10 inches | 58 |
| 57 | 126 | 150 | 4 feet 11 inches | 59 |
| 59 | 130 | 152 | 5 feet 0 inches | 60 |
| 61 | 134 | 155 | 5 feet 1 inches | 61 |
| 63 | 139 | 157 | 5 feet 2 inches | 62 |
| 65 | 143 | 160 | 5 feet 3 inches | 63 |
| 67 | 148 | 163 | 5 feet 4 inches | 64 |
| 69 | 152 | 165 | 5 feet 5 inches | 65 |
| 71 | 157 | 168 | 5 feet 6 inches | 66 |
| 73 | 161 | 170 | 5 feet 7 inches | 67 |
| 75 | 165 | 173 | 5 feet 8 inches | 68 |
| 77 | 170 | 175 | 5 feet 9 inches | 69 |
| 79 | 174 | 178 | 5 feet 10 inches | 70 |
| 81 | 179 | 180 | 5 feet 11 inches | 71 |
| 83 | 183 | 183 | 6 feet 0 inches | 72 |
| 85 | 187 | 185 | 6 feet 1 inches | 73 |
| 87 | 192 | 188 | 6 feet 2 inches | 74 |
| 89 | 196 | 191 | 6 feet 3 inches | 75 |
| 91 | 201 | 193 | 6 feet 4 inches | 76 |
| 93 | 205 | 196 | 6 feet 5 inches | 77 |
| 95 | 209 | 198 | 6 feet 6 inches | 78 |
| 97 | 214 | 201 | 6 feet 7 inches | 79 |
| 99 | 218 | 203 | 6 feet 8 inches | 80 |
| 101 | 223 | 206 | 6 feet 9 inches | 81 |
| 103 | 227 | 208 | 6 feet 10 inches | 82 |
| 105 | 231 | 211 | 6 feet 11 inches | 83 |
| 107 | 236 | |||
| 109 | 240 | |||
| 111 | 245 | |||
| 113 | 249 | |||
| 115 | 254 | |||
| 117 | 258 | |||
| 119 | 262 | |||
| 121 | 267 | |||
| 123 | 271 | |||
| 125 | 276 | |||
| 127 | 280 | |||
| 129 | 284 | |||
| 131 | 289 | |||
| 133 | 293 | |||
| 135 | 298 | |||
| 137 | 302 |
File details come from the government source that posted it. Updated .