Attachment_2_Spanish_Contractor_Request_for_Site_Visit_Pass.xls

XLS spreadsheet 39 KB Posted

Attached to
Base Operations Support Contract, Naval Station Rota, Spain
Solicitation number
N33191-14-R-1010
Issued by

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Spanish Request for Site Visit Pass

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Text version

Hoja2

Date:
From:Facilities Engineering and Acquisition Division, PWD, NAVSTA Rota, Spain
(Tenant Command or NAVSTA Department requesting base pass)
To:Jefatura de Seguridad, Base Naval de Rota (Spanish Security Officer)
Via:Security Officer, U.S. Naval Station, Rota, Spain.
Subj:REQUEST FOR WORK PASSXINITIAL ISSUERENEWAL(Check one)
Ref:(a)Spanish Navy Norma General 02/93 (Base Access Procedures)
1.Based on the following information, I request that a work pass be issued to
the persons listed below:(Check type of pass)
Contractor EmployeeShipping AgentDomestic Servant
(Complete a thru h)(Complete a thru e and g)(Complete a,b,c,e,h and i)
Technical ExpertXBusiness Visit(One day only)
(Complete a thru e)(Complete a thru e)
a.Duration of the pass:
(Specify period of time: days of the week, and hours of work)
b.Job to be performed:
c.Job location:
d.Company/ employer's name & address:
e.Sponsor's name/ rank/ phone:
f.Attach copy of work/service contract; job order/ request for services
g.Attach current Social Security documents.
h.Attach photocopy of Spanish ID/Passport.
i.Attach medical certificate from base hospital.
Individual's Full NameID Card/PassportCompany
1
2
3
4
5
6
7
8
9
10
11
12
13
14
(Signature of Securtity Officer)(Signature of CO, OIC, Dept. Head
or Authorized Representative)
IMPORTANT:CHECK WITH THE PASS CLERK OR CALL EXT. 3247 IN CASE OF DOUBT

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