1a_TASC_PWS_App_A_Foreign_Entity_Information_Sheet.docx

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Trans-Africa Airlift Support Contract (TASC)
Solicitation number
HTC711-16-R-R023
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IDIQ PWS Appendix A - Foreign Entity Information Sheet

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TASC PWS Appendix A

FOREIGN ENTITY INFORMATION SHEET

Date: ________________

1. Legal company name:________________________________________________ ICAO:______________ (Also known as:_____________________________________________________________________________)

a. Complete address:_________________________________________________ Country:______________

b. Phone number(s):___________________________________ FAX number:________________________

c. Owner(s) name:_____________________________________ Email:_______________________________

d. Manager(s) name:___________________________________ Email:_______________________________

2. Former company name:______________________________________________ ICAO:______________ (Also known as:_____________________________________________________________________________)

a. Complete address:_________________________________________________ Country:______________

b. Phone number(s):___________________________________ FAX number:________________________

c. Owner(s) name:_____________________________________ Email:_______________________________

d. Manager(s) name:___________________________________ Email:_______________________________

3. Name(s) of other companies in which the owner has interests:______________________________ ___________________________________ Nature of interest:_______________________________________ ____________________________________________________________________________________________

4. Country issuing Operating Certificate:________________________ Expiration date:____________ **Attach a copy** (Applicable to Airlift Companies)

5. Carrier fleet (Applicable to Airlift companies):

MODEL

TYPE

SERIAL NUMBER
REGISTRATION

NUMBER

REGISTERING COUNTRY
EXPIRATION DATE

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