Attachment H - NGA Visistor Access Request Form.pdf
PDF 147 KB Posted
- Attached to
- NGA N2W Moving Services
- Solicitation number
- HM157524R0010
About this file
This document is the Attachment H - NGA Visitor Access Request Form for the federal contract opportunity HM157524R0010 for NGA N2W Moving Services.
The key details are: The document is a request form for site visits to the NGA Arnold Facility, NGA St. Louis, and NGA Next West on May 1st and May 2nd, 2024. The form requires information such as the visitor's name, citizenship, identification details, last four digits of social security number, and date of birth. The form is subject to the Privacy Act of 1974 and must be delivered directly to the intended recipient. The related federal contract opportunity is for NGA N2W Moving Services, a solicitation issued by the Department of Defense National Geospatial Intelligence Agency.
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UNCLASSIFIED
Attachment H
UNCLASSIFIED
Request for NGA Site Visit – NGA Moving Services @ NGA Arnold Facility, NGA St. Louis & NGA Next West
NGA Arnold & NGA St. Louis - May 1st, 2024, 9am CST. Arrive at 8am CST
NGA N2W – May 2nd, 2024, 9am CST. Arrive at 8am CST
Company Name _______________________
First MI Last Suffix Nation of Citizenship
ID Type* ID Number (indicate State of Issue, e.g.
MO XXXX-XXXX-XXXX)
Last four digits of Soc. Sec.
Number
Date of Birth
YYYY-
MM-DD
Place of Birth City, State
*Although several forms of ID are allowed, use “US Driver’s License” if available.
This document is subject to the Privacy Act of 1974: Contents shall not be disclosed, discussed, or shared with individuals unless they have a direct need-to-know in the performance of their official duties. Deliver this/these document(s) directly to the intended recipient. DO NOT drop off with a third party. DOD Directive 5400.11, “Department of Defense Privacy Program”, May 8, 2007.
File details come from the government source that posted it. Updated .