Gate_Pass_Request_(15T0060).xlsx
XLSX spreadsheet 14 KB Posted
- Solicitation number
- FA5209-15-T-0060
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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-xxxx | xxx-xxx-xxxx | 1 | 12345678XXXX | SAGAMI XXX |
| Japan | HO 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"
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File details come from the government source that posted it. Updated .