J-15_Non-Mariner_Maintenance_Contractor_Vetting_Sheet_(Rev_8_(v4)_20_Sep_2017).xlsx
XLSX spreadsheet 27 KB Posted
- Attached to
- SOLICITATION USNS SIOUX (T-ATF 171)
- Solicitation number
- N3220518R4553
About this file
J-15 Non-Mariner Maintenance Contractor Vetting Sheet
View the file
Other files
Show all 40
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
Sheet1
| Ship Name: | MSC/EPIC FORCE PROTECTION REQUEST SUBMISSION TEMPLATE (Non-Mariner Maintenance Contractor) (Revision 8 (v4)- 20 Sep2017) | |||||
| Ship Flag: | FOUO-PRIVACY SENSITIVE. ANY MISUSE OR UNAUTHORIZED DISCLOSURE MAY RESULT IN BOTH CIVIL AND CRIMINAL PENALTIES | |||||
| Submission Date: | EMAIL SUBJECT LINE to read: FOUO - PRIVACY SENSITIVE - EPIC - PM[#] [PM POC (first 3 letters)] - [SHIP NAME] - [list TYPE (ie CREW, CONTractors, etc)]. | |||||
| Submitted by: | Examples: FOUO - PRIVACY SENSITIVE - EPIC - PM5 HUN - BRITTIN - CREW ; FOUO - PRIVACY SENSITIVE - EPIC - MSC OVE - LARAMIE - CONT | |||||
| Contact Info: | CONTACT INFORMATION OF PERSON WHO SUBMITTED REQUEST (Phone or Email). | |||||
| PRIVACY ACT STATEMENT (1974) | ||||||
| AUTHORITY: | SECNAVINST 5211.5E, E0 9397. | |||||
| PRINCIPAL PURPOSE(S): | To enable U.S. Navy (MSC) to screen personnel against relevant El Paso Intelligence Center (EPIC) databases in support of unescorted access to vessels over which MSC has control. | |||||
| ROUTINE USE(S): | The information below will be used to ensure the protection and safety of MSC and DOD personnel and assets, and may be furnished to other EPIC vetted personnel or DoD Law enforcement components who have a "Need to Know" the Information in the performance of their duties. | |||||
| DISCLOSURE: | Voluntary; however, failure to provide information may affect the approval of, or type of access to MSC vessels. | |||||
| LAST NAME | FIRST NAME | MIDDLE NAME | RATING or POSITION | COMPANY NAME | VISIT START DATE |
Lewis, Peter J CIV MSC, N341: Screening is good for a maximum of 30-day period
DATE OF BIRTH SSN (USA Only) CDR Buck McDermott: Social Security Number
| (US Only) | PASSPORT # | NATIONALITY | |||||||||
| no dashes) | (Country listed on Passport) | ||||||||||
| 0 | SMITH | ROBERT | (If Applicable) | AB/CONT | OPCO/CONTRACTING CO. | MM/DD/YYYY | MM/DD/YYYY | 123456789 | 123456789 | (Country listed on Passport) | |
| 1 | |||||||||||
| 2 | |||||||||||
| 3 | |||||||||||
| 4 | |||||||||||
| 5 | |||||||||||
| 6 | |||||||||||
| 7 | |||||||||||
| 8 | |||||||||||
| 9 | |||||||||||
| 10 | |||||||||||
| 11 | |||||||||||
| 12 | |||||||||||
| 13 | |||||||||||
| 14 | |||||||||||
| 15 | |||||||||||
| 16 | |||||||||||
| 17 | |||||||||||
| 18 | |||||||||||
| 19 | |||||||||||
| 20 | |||||||||||
| 21 | |||||||||||
| 22 | |||||||||||
| 23 | |||||||||||
| 24 | |||||||||||
| 25 | |||||||||||
| 26 | |||||||||||
| 27 | |||||||||||
| 28 | |||||||||||
| 29 | |||||||||||
| 30 | |||||||||||
| 31 | |||||||||||
| 32 | |||||||||||
| 33 | |||||||||||
| 34 | |||||||||||
| 35 | |||||||||||
| 36 | |||||||||||
| 37 | |||||||||||
| 38 | |||||||||||
| 39 | |||||||||||
| 40 | |||||||||||
| 41 | |||||||||||
| 42 | |||||||||||
| 43 | |||||||||||
| 44 | |||||||||||
| 45 | |||||||||||
| 46 | |||||||||||
| 47 | |||||||||||
| 48 | |||||||||||
| 49 | |||||||||||
| 50 | |||||||||||
| 51 | |||||||||||
| 52 | |||||||||||
| 53 | |||||||||||
| 54 | |||||||||||
| 55 | |||||||||||
| 56 | |||||||||||
| 57 | |||||||||||
| 58 | |||||||||||
| 59 | |||||||||||
| 60 |
Sheet2
Sheet3
File details come from the government source that posted it.