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Gate pass request form (not a part of solicitation)

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ONE TIME/MULTIPLE ACCESS ROSTER

Information for Form USAG-J 1529

Company Name

(社名):

Solicitataion No.

(入札書番号)

Select 1 or 2

Name(名前) 1 Driver's License No.

Nationality(国籍) 2 Passport No.

YAMADA Taro

Japan

1 運転免許証番号

2 パスポート番号

注:どちらかをお選

びください

Kanji(漢字)

Address(住所) Telephone No.

S A M P L E

Vehicle Plate

No.

山田太郎 4-56-78, Asahi-chi, Yamato-shi, Kanagawa-ken, Yokota

Condominium, Room 505 012-345-6789

SAGAMI 000

HO 12-34

1 456789123456

File details come from the government source that posted it. Updated .