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Pass Request (Attach 1 to Notice to Offeror Letter)

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GATE PASS REQUEST

GATE PASS REQUEST FORM

ONE TIME/MULTIPLE ACCESS ROSTER (Information for Form USAG-J 1529)

RFQ No. (入札書番号):FA5209-15-T-0060
Company Name (社名):
Name(氏名)Kanji(漢字)Address(住所)Telephone No. (電話番号)1*Driver's License No. (運転免許証番号)**Vehicle License Plate No. (車両ナンバー)
Nationality(国籍)2*Passport No. (パスポート番号)
(Ex) YOKOTA, Taro(例) 横田太郎(Ex) 1-1-1 Yokota, xxxxx-shi, Tokyo, Japan 111-xxxxxxx-xxx-xxxx112345678XXXXSAGAMI XXX
JapanHO XX-XX
* Select 1 or 2, and provide the information of your choice. (1か2を選び、選択した項目の情報を御記入ください。)
** Please come to the installations by car (1 vehicle per offeor, please). Please provide the vehicle license plate number.
(当日はお車でお越し下さい。但し1社1台でお願いします。車両のナンバープレート番号を御記入ください。)
SPECIAL ATTENTION FOR DRIVING IN THE U.S. FORCES JAPAN INSTALLATIONS:
1. Any vehicles driving in the U.S. Forces Japan installations must have a liability insurance that covers at least 30,000,000 yen for bodily injury and 3,000,000 yen
for property damage. (在日米軍施設内を走行する車両は、対人保障3000万円以上、対物保証300万円以上の補償額の任意保険が必要です。)
2. The driver needs to present the certificates of (1) automobile inspection (original), automobile liability insurance (original) and voluntary insurance (copy) of the vehicle.
(入門の際、車両運転者は車検証原本、自賠責保険証原本と任意保険証コピーの提示が必要になります。)

&"Times New Roman,Bold"Attachment 1 &"Times New Roman,Regular"to &"Times New Roman,Italic"Notice to Offeror

&"Times New Roman,Bold"

Sheet4

Sheet5

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