Attachment E - NGA Visistor Access Request Form.pdf

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Attached to
Construct 3D Printer Room
Solicitation number
HM157524B0001
Issued by

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This document is an Attachment E - NGA Visitor Access Request Form related to the federal contract opportunity to Construct a 3D Printer Room at the NGA Arnold Facility.

The form requests information such as the visitor's name, citizenship, identification type and number, and date of birth for access to the NGA site visit on July 10, 2024 from 9am to 11am CST. The contract opportunity, Solicitation Number HM157524B0001, is being issued by the Department of Defense National Geospatial Intelligence Agency to construct a 3D printer room at the NGA Arnold facility. The solicitation and related attachments provide details on the required products and services for this opportunity.

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UNCLASSIFIED

Attachment H

UNCLASSIFIED

Request for NGA Site Visit – Construct 3D Printer Room @ NGA Arnold Facility

NGA - July 10th, 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 .