Attachment_D_SECNAV 5512.pdf

This document is a Department of the Navy "CUI (when filled in) - LOCAL POPULATION ID CARD/BASE ACCESS PASS REGISTRATION" form with detailed identity proofing and personal information requirements. The form is designed for registering access to Department of Defense installations, requiring comprehensive personal identification details such as name, race, sex, citizenship status, physical characteristics, and employment information. Key sections include U.S. citizenship verification, identity source document validation, employment activity information, prior felony conviction disclosure, and authorization for background checks by DOD/DON and federal agencies. The form emphasizes strict identity verification procedures, with warnings that false statements are punishable by law and could result in fines or imprisonment up to five years. The document expires on 31 July 2027 and is part of the DOD's Physical Security Review Board directive for controlled access to military installations.