PTR_Industry_Day_Base_Access_Request.xlsx
XLSX spreadsheet 18 KB Posted
- Attached to
- ACC Primary Training Ranges
- Solicitation number
- FA4890-17-R-0001
About this file
Langley AFB Access Request form to be completed for individuals without valid DOD credentials or non-US citizens. Due by 12 noon on 6 Sep 2016.
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Sheet1
| This document contains information which must be protected IAW AFI 33-332 and DoDR 5400.11. Privacy Act of 1974 as amended applies, and it is For Official Use Only. | |||||||||
| For individuals without valid DoD credentials or non US citizens that are planning to attend, please complete the attached spreadsheet to facilitate base entry for these individuals. | |||||||||
| Last Name | First Name | MI | Social Security Number | Gender | Date of Birth | Contract Company Name | U.S. Citizen | Country of Citizenship | Passport Number |
| All CAPs | All CAPs | Numbers only - no dashes or special characters | Use MALE or FEMALE - All CAPs | Input as DDMonYY format (Ex. 01Jan16) | All CAPs | Y or N | All CAPs |
PRIVACT ACT STATEMENT
AUTHORITY: Title 50, U.S. Code, Chapter 23, DoD 5200.08P Paragraph 3.2, DoD 5200.08-R Paragraph C3.3.1.4, AFI 31-601, Chapter 7, AFTTP 3-31.1, Paragraph 2.4.4.
PRINCIPLE PURPOSE: Screen potential visitors with a local agency check to determine outstanding warrants, hostile/or terrorist affiliation and any felony convictions identified in AFI 31-113 and the IDC.
ROUTINE USE: Used by Security Forces for the screening and entry control for the duration of the visit. Information will be entered into the Virginia Criminal Information Network to conduct a criminal history check and electronic information is destroyed in accordance with Air Force Records Information Management System (AFRIMS). Those requesting contractor badges will have their information entered into IDworks to produce a contractor badge and information is destroyed in accordance with AFRIMS.
DISCLOSURE: Voluntary, however, failure to furnish the information requested will result in denial of entry.
File details come from the government source that posted it. Updated .