Attachment E - NGA Visistor Access Request Form.pdf

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Attached to
Uninterruptible Power Supply (UPS) Redistribution
Solicitation number
HM157524R0016
Issued by

About this file

This document is an Attachment E - NGA Visitor Access Request Form for a visit to the National Geospatial Intelligence Agency (NGA) Arnold location on June 27th, 2024 at 9am CST related to the "UPS Power Redistribution Project". The form requests visitor information such as name, citizenship, identification, social security number, and date and place of birth. This form is subject to the Privacy Act of 1974 and DOD Directive 5400.11 for protecting personal information.

The related federal contract opportunity is for the "Uninterruptible Power Supply (UPS) Redistribution" solicitation number HM157524R0016, issued by the Department of Defense National Geospatial Intelligence Agency. The solicitation appears to include a Request for Proposal and attachments, though the specific requirements are not detailed in this document.

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Text version

UNCLASSIFIED

Attachment E

UNCLASSIFIED

Request for NGA Site Visit – UPS Power Redistribution Project

NGA Arnold - June 27th, 2024, 9am CST. Arrive at 8:30am CST

Company Name _______________________

First MI Last Suffix Nation of Citizenship

ID Type* ID Number (indicate State of Issue, e.g.

MO XXXX-XXXX-XXXX)

Last four digits of Soc. Sec.

Number

Date of Birth

YYYY-

MM-DD

Place of Birth City, State

*Although several forms of ID are allowed, use “US Driver’s License” if available.

This document is subject to the Privacy Act of 1974: Contents shall not be disclosed, discussed, or shared with individuals unless they have a direct need-to-know in the performance of their official duties. Deliver this/these document(s) directly to the intended recipient. DO NOT drop off with a third party. DOD Directive 5400.11, “Department of Defense Privacy Program”, May 8, 2007.

File details come from the government source that posted it. Updated .