BLANK - FLW Sponsor AIE Pass Application List Template.xlsx

XLSX spreadsheet 18 KB Posted Jul 7, 2022

Attached to: Ft. Leonard Wood Sanitary Refuse
Solicitation number: W911S7-22-R-0006
Issued by: Department of the Army Materiel Command Mission and Installation Contracting Command Fort Eustis

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EAL

Information provided must be complete and typed into form, handwritten information will not be accepted.

DoD SPONSOR'S ENTRY ONLY

Last Name

First Name

Middle Name

Drivers License

State

US Citz Y/N

AR/Passport#

Country of Birth

Start Date

End Date

Company Name

Sponsor Org

FPCON

Days of Week

Times of Entry

DO NOT DELETE: PRIVACY ACT STATEMENT

AUTHORITY: DoD FMR, JFTR, JTR (SSN), AR 190-13.

PRINCIPAL PURPOSE(s): To facilitate background screening for pass application vetting.

ROUTINE USE(S): To vet information provided through NCIC.

DISCLOSURE: Voluntary. However, failure to provide all the requested information will result in delay of access. DoD Sponsor's Signature

Foreign Nationals Alien Registration/Passport number and Country of Birth information will be sent along with drivers license number and state.

&"Arial,Bold"Fort Leonard Wood Pass Application Sponsor's List

Codes

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File details come from the government source that posted it. Updated Jul 7, 2022.