Attach (a) DBIDS Card-Paper Pass Reqeust.xlsx

XLSX spreadsheet 38 KB Posted

Attached to
BOS Utilities O&M at CFA Sasebo Federal contract opportunity
Solicitation number
N4008423R6301
Issued by
Department of the Navy Naval Facilities Engineering Command

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Other files attached to BOS Utilities O&M at CFA Sasebo, newest first.
File Type Posted
Draft RFP N4008423R6301.pdf PDF
Attach (c) USFJ196aEJ.pdf PDF
SAMPLE-SECNAV 5512 1.pdf PDF
SAMPLE FOR US CITIZEN-SECNAV5512-1.pdf PDF
Site Visit-Agenda.pdf PDF
SAMPLE-USFJ196bEJ FOR MLC-IHA.pdf PDF
SAMPLE-USFJ196aEJ FOR MLC-IHA.pdf PDF
Attach (b) SECNAV 5512-1.pdf PDF
Attach (d) USFJ196bEJ.pdf PDF

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DBIDS CARD-PAPER PASS

APPOINTMENT DATE :TIME:DATE RECEIVED: BY:
DBIDS CARD / PAPER PASS
LAST (姓)FIRST (名)MIDDLE
DOB (生年月日):MM/DD/YYYYGENDER (性別)NATIONALITY (国籍)
MALE / FEMALE (circle)
DRIVER'S LICENSE NO.ID TYPE :DBIDS NO.
ID NO :
HAIR COLOR (髪の色)EYE COLOR (目の色)HT (身長/Ft.In.)WT (体重/Pounds)
CURRENT ADDRESS / 現住所(英語及び漢字)
/
PERMANENT ADDRESS FOR JAPANESE ONLY / 本籍地(日本人のみ)
PLACE OF BIRTH (出生地) :/
🏣郵便番号/ZIP CODEMOBILE OR HOME NO. (携帯電話/自宅)EMAIL ADDRESS

COMPANY NAME (申請者の所属会社) WORK PHONE NO. (勤務先の電話)

TIME (入門時間) FROM ~ TODAYS OF WEEK (入門曜日)DATE OF ENTRY ( 申請期間)
~S / M / T / W / T / F / S (circle)//~//
MAIN CONTRACTOR (元請会社):
PHONE NO (電話番号) :CONTRACT PERIOD (契約期間)
CONTRACT NO (契約番号) :~
CONTRACT TITLE (契約名称):
ACCESS AREA (行先)
1. MAIN BASE 2. M/B HOUSING 3. HARIO HOUSING 4. FIDDLER'S GREEN 5. M/B PIERS
6. AKASAKI 7. IORIZAKI 8. YOKOSE 9. MAEBATA ORD 10. HARIOSHIMA ORD (circle)
SPONSORING ORGANIZATION (スポンサー部署)SPONSOR'S NAME (TYPE)
SPONSOR'S E-MAIL :SPONSOR'S SIGNATURE
SPONSOR'S PHONE NO :
PRIVACY ACT STATEMENT
Collection of this is authorized by the Privacy Act, U.S.C. Section 552(a). The information will be used to process Base Pass.
The information on this form may be disclosed to the third parties in accordance with the provision of 5 U.S.C. Section 552(b).
Completion of this form is voluntary; however, failure to provide the information requested may preclude the processing of Base Pass
PASS COORDINATOR (パスコ－ディネ－タ－)PASS & ID OFFICE
NAME & PHONE NO :
DATE RETURNED : BYCONFIRMED BY :
TRANSMITTAL / FILE NO :DATE TRANSFERRED :

200-1, 20190306

SAMPLE FOR DBIDS CARD-PAPER PAS

APPOINTMENT DATE :TIME:DATE RECEIVED: BY:
DBIDS CARD / PAPER PASSSASEBO400CHI9876
LAST (姓)FIRST (名)MIDDLE
① BEIGUN 米軍TARO 太郎
DOB (生年月日):MM/DD/YYYYGENDER (性別)NATIONALITY (国籍)
② 10/27/1979MALE / FEMALE (circle)JAPAN
DRIVER'S LICENSE NO.ID TYPE :④PASS PORTDBIDS NO.
③92045674XXXXID NO :④ KR23321243⑤①日本名がある場合は、横に記入
HAIR COLOR (髪の色)EYE COLOR (目の色)HT (身長/Ft.In.)WT (体重/Pounds)②日付は 月 / 日 / 西暦 で記入
BLACKBROWN⑥5'10"152③運転免許証の番号を記入
CURRENT ADDRESS / 現住所(英語及び漢字)④運転免許証が無い場合、証明書の種類と番号を記入
XXXX HIRASE-CHO, SASEBO-CITY / 佐世保市平瀬町xxxx⑤所持しているパスがあれば、有効期限とともに記入
PERMANENT ADDRESS FOR JAPANESE ONLY / 本籍地(日本人のみ)⑥フィート、インチで記入（別表参照）
XX-XX AKASAKI-CHO, SASEBO-CITY / 佐世保市赤崎町xx-xx⑦長崎県以外の場合は都道府県から記入
PLACE OF BIRTH (出生地) :⑦ / URESHINO-CITY, SAGA PREF. / 佐賀県嬉野市⑧必項なので、無い場合、フリーメール等で良いので作成する。
🏣郵便番号/ZIP CODEMOBILE OR HOME NO. (携帯電話/自宅)EMAIL ADDRESS
857-1234090-1234-xxxx / 0956-23-xxxx⑧beigun.t@jjj.jp
COMPANY NAME (申請者の所属会社)WORK PHONE NO. (勤務先の電話)
ABC COMPANY0956-50-xxxx
TIME (入門時間) FROM ~ TODAYS OF WEEK (入門曜日)DATE OF ENTRY ( 申請期間)
0800~1645S / M / T / W / T / F / S (circle)1/31/19~1/31/20
MAIN CONTRACTOR (元請会社):SASEBO KENSETSU
PHONE NO (電話番号) :0956-XX-XXXXCONTRACT PERIOD (契約期間)
CONTRACT NO (契約番号) :N012345-14-XXXX1/31/19~10/31/21
CONTRACT TITLE (契約名称):BEIGUN CO.
ACCESS AREA (行先)
1. MAIN BASE 2. M/B HOUSING 3. HARIO HOUSING 4. FIDDLER'S GREEN 5. M/B PIERS
6. AKASAKI 7. IORIZAKI 8. YOKOSE 9. MAEBATA ORD 10. HARIOSHIMA ORD (circle)
SPONSORING ORGANIZATION (スポンサー部署)SPONSOR'S NAME (TYPE)
JED SASEBO RESIDENT OFFICEJAMES J. JOHNSON, LT, USN
SPONSOR'S E-MAIL :johnson.j@jjj.jpSPONSOR'S SIGNATURE
SPONSOR'S PHONE NO :0956-50-XXXX
PRIVACY ACT STATEMENT
Collection of this is authorized by the Privacy Act, U.S.C. Section 552(a). The information will be used to process Base Pass.
The information on this form may be disclosed to the third parties in accordance with the provision of 5 U.S.C. Section 552(b).
Completion of this form is voluntary; however, failure to provide the information requested may preclude the processing of Base Pass
PASS COORDINATOR (パスコ－ディネ－タ－)PASS & ID OFFICE
NAME & PHONE NO :
DATE RETURNED : BYCONFIRMED BY :
TRANSMITTAL / FILE NO :DATE TRANSFERRED :

200-1, 20190306

・PAPER PASSの申請で車両乗入が必要な場合

・DBIDS CARD所有者で３０日以内の車両パスが

必要な場合に記入する。

申請の種類に応じて、DBIDS CARDか

PAPER PASS のどちらかに〇をつける。

SAMPLE

HEIGHT.WEIGHT CONVERSION CHARTS

Appendix A Height and Weight Conversion Charts
Weight-Conversion Chart:Height-Conversion Chart
(2.2045 pounds = 1 kg)(.39370 inches = 1 cm)
Weight in kilogramsConverted to poundsHeight in centimetersHeight in feetHeight in inches
and inches
35771224 feet 0 inches48
37821244 feet 1 inches49
39861274 feet 2 inches50
41901304 feet 3 inches51
43951324 feet 4 inches52
45991354 feet 5 inches53
471041374 feet 6 inches54
491081404 feet 7 inches55
511121424 feet 8 inches56
531171454 feet 9 inches57
551211474 feet 10 inches58
571261504 feet 11 inches59
591301525 feet 0 inches60
611341555 feet 1 inches61
631391575 feet 2 inches62
651431605 feet 3 inches63
671481635 feet 4 inches64
691521655 feet 5 inches65
711571685 feet 6 inches66
731611705 feet 7 inches67
751651735 feet 8 inches68
771701755 feet 9 inches69
791741785 feet 10 inches70
811791805 feet 11 inches71
831831836 feet 0 inches72
851871856 feet 1 inches73
871921886 feet 2 inches74
891961916 feet 3 inches75
912011936 feet 4 inches76
932051966 feet 5 inches77
952091986 feet 6 inches78
972142016 feet 7 inches79
992182036 feet 8 inches80
1012232066 feet 9 inches81
1032272086 feet 10 inches82
1052312116 feet 11 inches83
107236
109240
111245
113249
115254
117258
119262
121267
123271
125276
127280
129284
131289
133293
135298
137302

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