AMENDMENT_01_New Access Questionnaire.xlsx
XLSX spreadsheet 30 KB Posted
- Attached to
- Djibouti JOC Amendment 05 Federal contract opportunity
- Solicitation number
- N33191
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ACCESS ROSTER
| START | END | LAST NAME | FIRST NAME | MIDDLE NAME | COUNTRY OF ORIGIN | ID TYPE | ID COUNTRY OF ISSUE | ID NUMBER | PLATE NO | ESCORT OR NO ESCORT | SPONSOR UNIT/COMPANY | PHONE # OF SPONSOR | SPONSOR NAME | PHONE # OF VISITOR | REASON FOR VISIT | US CITIZEN OR GREEN CARD HOLDER | DOB (DDMMMYYYY) | PLACE OF BIRTH | CURRENT ADDRESS IN DJIBOUTI | PREVIOUS ADDRESS | COUNTRIES VISITED OR LIVED IN OTHER THAN DJIBOUTI (LOCATIONS & DATES, LAST 10 YEARS) | MILITARY SERVICE (COUNTRY & DATES) | ALTERNATE MOBILE PHONE # | EMAIL ADDRESS | LANGUAGES SPOKEN | WORK LOCATIONS ON CLDJ | OCCUPATION ON CLDJ | PREVIOUS EMPLOYMENT, EMPLOYER, LOCATION AND DATES | FRIENDS OR FAMILY EMPLOYED BY US GOVERNMENT | FRIENDS OR FAMILY EMPLOYED BY OTHER GOVERNMENT |
| 01/01/16 | 12/31/16 | Doe | John | Quimbao | Djibouti | National ID | Djibouti | 123456 | 123ABC | Escort Required | ACME INC. | +25397865432 | Jane Doe | +25312345678 | Badge Request | No | 31-Dec-1970 | Ali Sabeh, Djibouti | Balbala, Djibouti | Ali Sabeh, Djibouti | Somaliland, 2014. USA, 2010-2012. Ethiopia, 2007-2008 | Djibutian Army, 1990-1992 | +25311223344 | name@email.com | Somali, Afari, English, Arabic | New CJTF-HOA HQ Building | Rebar Welder | Carpenter, Acme Inc, Ethiopia, 2003-2004 | Brother, Plumber, Camp Lemonnier | Father, Djibouti Gendarmerie |
E-MAIL TO: usn.cldj.acj34.list.base-access-control-office@mail.mil
All non-military access requests and documents must be submitted no later than 1600 hrs, FOURTEEN (14) working days (Mon - Sat) prior to the date access is required. Coalition Military access requests must be submitted no later than 1600 hrs, 48 hours (excluding Sundays) prior to the date access is required.
NOTE: For non-Uniformed Services and non-Government Services CAC holding U.S. members and Third Country Nationals, a copy of a government issued passport must be submitted with the Access Request Form.
For Local/Host Country Nationals, a copy of an official government issued ID or government issued passport must be submitted with the Access Request Form. An approved Exception to Policy Request must be obtained and submitted with the above listed documents if access is required prior to the 14 day notification requirement for non-military or 48 hour notification requirement for Coalition Military Forces.
-FAILURE TO SUBMIT PROPER DOCUMENTATION WILL RESULT IN A DELAY OR DENIAL OF YOUR REQUEST.
-FAILURE TO SUBMIT ACCESS REQUEST WITHIN THE PROPER TIME FRAME WILL RESULT IN A DELAY OR DENIAL OF YOUR REQUEST.
| National ID | Escort Required | Badge Request | Yes |
| Passport | No Escort Required | Reissue Badge | No |
| Temporary Access | |||
| Official Visit |
&"Courier New,Regular"Updated &D &T Destroy all previous versions &"Courier New,Bold"&20BASE ACCESS ROSTER &"Courier New,Regular"&12FOR OFFICIAL USE ONLY
File details come from the government source that posted it. Updated .