Exhibit E - ASG-KU DES FORM 190-16.02 ENCLOSURE 9.pdf

ASG‐KU VEHICLE REGISTRATION APPLICATION

SECTION I ‐ VEHICLE INFORMATION

Vehicle Identification Number (17 Digit Number): Type of Access:

■ New Registration Renewal

License Plate Number: Body Type: Expiration of Vehicle Registration (DD‐MMM‐YY):

Manufacturer's Name: Color: Expiration of Lease / Rental (DD‐MMM‐YY):

Model Name: Year of Vehicle: Expiration of Insurance (DD‐MMM‐YY):

SECTION II ‐ VEHICLE OWNER / PRIMARY DRIVER / FLEET MANAGER INFORMATION

Last Name: First, Middle Initial: Company/Unit:

Contact Number: Contract Number: Foreign Identification Number/DOD ID:

SECTION III ‐ COR / APPOINTED AUTHORITY (AA) INFORMATION AND RECOMMENDATION

AA Last Name: AA First, Middle Initial: AA Rank/Grade

AA Unit/Organization: AA Work Number (DSN): AA Mobile Number:

AA Email Address: AA Signature and Date:

SECTION IV ‐ MOTOR VEHICLE OPERATOR ACKNOWLEDGMENT

Data Required by Privacy Act of 1974 (5 U.S. CODE 552a)

AUTHORITY: DoD Directive 5200.8 Security of DoD Installations and Resources, AR190‐5 Motor Vehicle Traffic Supervision, CENTCOM OPORD 10‐05 Antiterrorism and the ASG‐KU Installation Access Policy. PRINCIPAL PURPOSE:

To establish positive identification of vehicles authorized to access ASG‐KU Installations. ASG‐KU requires that all Non‐Tactical Vehicles be registered and authorized prior to entry. MANDITORY DISCLOSURE REQUIREMENT:

Failure to provide the required information, including passport number or Kuwait Civil Identification number will result in disapproval of this application. Disapproved applicants will be denied the privilege of Vehicle access onto ASG‐KU Installations.

Acknowledgement of ASG‐KU Installation Motor Vehicle Operator Responsibilities As an ASG‐KU Installation Motor Vehicle Operator, I acknowledge the following:

1. I understand that upon entering, exiting or while on any ASG‐KU Installation the Vehicle, including all contents, is subject to search at the discretion of the U.S. Government, its designate or the issuing agency.

2. While on post, I am responsible for displaying the Vehicle Placard so it is clearly visible.

3. I am responsible for cancelling the Vehicle Placard should I sell, exchange return or otherwise no longer have possession of the vehicle and return the Placard to Installation Access.

4. I understand that I must have a valid driver's license, valid registration and insurance and meet all requirements for entry onto ASG‐KU Installations.

5. If my vehicle is stolen, I must immediately notify the PMO and Installation Access.

6. I acknowledge by my signature that I have read and understand the policy, requirements and responsibilities above.

(Print) Last, First, Middle Initial: Signature: Date (DD‐MMM‐YY):

SECTION V ‐ INSTALLATION ACCESS USE ONLY

Application Inspected By: Signature and Date of Person Approving Application: Expiration Date of Placard (DD‐MMM‐YY):

Name of person Entering Data: Signature and Date of Person Entering Data:

Verified Documents Enclosed: Vehicle Classification:

GREEN PLACARD

WHITE PLACARD

POV

Enclosure 9 ‐ ASG‐KU DES Form 190‐16.04_Vehicle Registration Application (1 July 2022)

Verified that packet includes all documents required by SOP and Enclosure 2.