Attachment 4 Base Access Request Form.xlsx
XLSX spreadsheet 31 KB Posted
- Attached to
- Repair CEMIRT Facilities Federal contract opportunity
- Solicitation number
- FA481921R0032
About this file
This document contains an attachment base access request form and details of a related federal contract opportunity. The form provides personally identifiable information for an individual seeking base access and details of required permissions, including days and hours of access and need for escort. The related solicitation seeks proposals to repair CEMIRT facilities at Tyndall AFB, Florida, with a site visit scheduled for 3 August 2021. Offerors are encouraged to review the solicitation and attachments in full for requirement details.
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Text version
BACKGROUND CHECK
325 CES G WALKER 20210714
SCOTT, JAYLEN D SrA USAF ACC 325 SFS/S-3OA: SCOTT, JAYLEN D SrA USAF ACC 325 SFS/S-3OA:
BASE AGENCY
| Date | 14-Jul-21 | |||||
| Submitting Personnel | gilbert.walker@us.af.mil | Name/Contact Info | SSgt Garret Parker / 850-283-8662 | Company Name | Cotact Person /Contract # (Start date -Completion date) | |
| Company | Last, First MI | DOB (YYYYMMDD) |
SCOTT, JAYLEN D SrA USAF ACC 325 SFS/S-3OA: SCOTT, JAYLEN D SrA USAF ACC 325 SFS/S-3OA:
EX:19991215 SSN (###-##-###)
SCOTT, JAYLEN D SrA USAF ACC 325 SFS/S-3OA: SCOTT, JAYLEN D SrA USAF ACC 325 SFS/S-3OA:
Full social with dashes xxx-xx-xxxx UNIT (325 CES) SCOTT, JAYLEN D SrA USAF ACC 325 SFS/S-3OA: SCOTT, JAYLEN D SrA USAF ACC 325 SFS/S-3OA:
BASE AGENCY DL / State ID Number State / Place of Issuance Sex (M/F) Place of Birth (City / State or Country) US Citizen (Y/N) *Passport/USCIS# mailto:gilbert.walker@us.af.mil
DBIDS PERMISSIONS
| PERMISSIONS | ||
| LAST, FIRST MI | SIDE(S) OF BASE (TAFB ALL or SOUTHSIDE) |
SCOTT, JAYLEN D SrA USAF ACC 325 SFS/S-3OA: SCOTT, JAYLEN D SrA USAF ACC 325 SFS/S-3OA:
TAFB ALL or SOUTHSIDE DAYS SCOTT, JAYLEN D SrA USAF ACC 325 SFS/S-3OA: SCOTT, JAYLEN D SrA USAF ACC 325 SFS/S-3OA:
Ex: Mon-Fri HOURS LITTLE, KRISTIN K GS-07 USAF ACC 325 CES/CCS: LITTLE, KRISTIN K GS-07 USAF ACC 325 CES/CCS:
Ex: 0600-1800 ESCORT (Y/N) SCOTT, JAYLEN D SrA USAF ACC 325 SFS/S-3OA: SCOTT, JAYLEN D SrA USAF ACC 325 SFS/S-3OA:
Will they need to escort others onto the installation? EXPIRATION (MM/DD/YY) SCOTT, JAYLEN D SrA USAF ACC 325 SFS/S-3OA: SCOTT, JAYLEN D SrA USAF ACC 325 SFS/S-3OA:
EX: 01-DEC-2021 UNIT (325 CES)
SCOTT, JAYLEN D SrA USAF ACC 325 SFS/S-3OA: SCOTT, JAYLEN D SrA USAF ACC 325 SFS/S-3OA:
BASE AGENCY
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