J-Form 6-NSF Deveselu Background Investigation Form - ENG.DOCX

STATEMENT for Non - US FORCES personnel FOR BACKGROUND CHECKS

I, __________________________________________ declare that all the information provided in the access request form is truthful and current. I am aware of the security requirements and procedures regarding base access approval to U.M.99/Deveselu and I acknowledge them. I am aware that all the information I provide will be verified, and I am aware of the legal consequences in case of false statements or willful omissions. If required for access to Deveselu base, I agree to provide additional information. I also agree to provide updated information should any changes occur. I understand, I will not receive any explanation should my access to the Deveselu base is denied.

Date______________ Signature____________________________

SIGNED IN THE PRESENCE OF:

(Name and Surname – Supervisor or Hiring Official)

U.M.99 Deveselu BASE ACCESS INFORMATION SHEET

All individuals requiring access to U.M.02517/Deveselu will undergo a background investigation.

1. Approval of access to U.M.02517/Deveselu is based on the results of the background investigation.

2. The Information verified during the background investigation includes the name, identification number, place of birth, date of birth, and nationality as well as all other fields listed on the separate access request form of the individual and must be complete and accurate.

3. The access request to U.M.02517/Deveselu will be rejected in case false statements or willful omissions.

4. The approval of a base access request to U.M.02517/Deveselu will be provided only by the investigating authority.

5. If an individual’s base access request is not approved, the investigating authority is not required to provide an explanation regarding the reason the base access request has been rejected for.