The file's text, extracted by GovTribe without its formatting.
FOR OFFICIAL USE ONLY - PRIVACY SENSITIVE:
Any misuse or unauthorized disclosure of this information may result in both criminal and civil penalties.
Requesting Official's Signature Authorizing Official Signature
(Site Visit)
| Text1: 12/6/2023 |
| Text2: INPUT COMPANY NAME |
| Text3: N6945023R0075 |
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| 0: FULL SSN |
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| 0: ATTENDEE'S FULL NAME |
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| 5: ER-SWIPE AREAS 4, 7, 10 |
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| 0: FULL DOB |
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| 0: Date(s) |
| 1: Contractor: |
| 2: Contract # |
| 3: SSN |
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| 0: Name |
| 1: Category |
| 2: Clearance |
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| 0: US Citizen |
| 1: DOB |
| Dropdown5: |
| 0: [CONTRACTOR] |
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| Dropdown6: |
| 0: [YES] |
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| 0: [N/A] |
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| Text13: NAVFAC SE PWD - KINGS BAY VISIT REQUEST |
| CLEAR: |