J-6_Base_Access_Request_Form.xlsx
XLSX spreadsheet 28 KB Posted
- Attached to
- BASE OPERATIONS SUPPORT (BOS) SERVICES AT U. S. NAVAL SUPPORT FACILITY (NSF) DEVESELU, ROMANIA
- Solicitation number
- N6247016R5012
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J-6_Base_Access_Request_Form.xlsx
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US Forces - DOD CACs
No. Given Name Surname Date of Birth dd/mm/yr Place of Birth Gender Citizenship Passport Number or ID number (as applicable) US Military Agency / Organization Grade / Rank Title / Position General purpose of the visit Estimated Date of Arrival Estimated Date of departure Comments
| 0 | 1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10 | 11 | 12 | 13 | 14 |
| 1 |
| NOTE: | |
| * | Visitors are not authorized to access any perimeter roads or any other areas on the Romanian base without prior authorization from the NSF Operation/Security. |
| POC:Henry N. Dockins | |
| e-mail: henry.dockins2eu.navy.mil | |
| DSN: 324-770-0035 |
&"Arial,Bold"&12US FORCES PERSONNEL THAT ENTER THE BASE ON OFFICIAL DUTY
Contractors-US Employees
| No. | Given Name | Surname | Date of Birth | Place of Birth | M/F | Citizenship (for double/ multiple citizenships) | Passport Number | Employer's complete name | Employer's country of origin | Employer's contact data | Employer registration number from the Romanian Office of Commerce Registry | Position | Purpose of the visit (type of work to be performed) | Place of performing the work on the Base | Place of work on the base | Estimated date of Arrival | Estimated date of departure | Registration Number of the individual's working contract | Period of performance of the individual's working contract | Approved access period | Comments | |
| Start | Finish | |||||||||||||||||||||
| 0 | 1 | 2 | 3 | 4 | 5 | 6 | 7 | 9 | 10 | 11 | 12 | 13 | 14 | 15 | 15 | 16 | 17 | 18 | 19 | 20 | 21 | 22 |
| NOTE: | |
| * | Visitors are not authorized to access any perimeter roads or any other areas on the Romanian base without prior authorization from the NSF Operation/Security. |
| POC:Henry N. Dockins | |
| e-mail: henry.dockins2eu.navy.mil | |
| DSN: 324-770-0035 |
Contractors - ROU Citizens
| No. | Given Name | Surname | Personal Numeric Code | Date of Birth | Place of Birth | M/F | Citizenship (for double/ multiple citizenships) | Passport Number (for double/ multiple citizenships) | Romanian Identity Card serial number | Personal phone number and personal e-mail address | Employer's complete name | Country of origin of the employer | Employer's contact data | Employer registration number from the Romanian Office of Commerce Registry | Position | Purpose of the visit (type of work to be performed) | Place of work on the Base | Registration Number of the individual's working contract | Period of performance of the individual's working contract | Approved Access Period | Comments | |
| Start | Finish | |||||||||||||||||||||
| 0 | 1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10 | 10 | 11 | 12 | 13 | 14 | 15 | 16 | 17 | 18 | 19 | 20 | 21 |
| 1 | ||||||||||||||||||||||
| 2 | ||||||||||||||||||||||
| 3 | ||||||||||||||||||||||
| … | ||||||||||||||||||||||
| POC:Henry N. Dockins | ||||||||||||||||||||||
| e-mail: henry.dockins2eu.navy.mil | ||||||||||||||||||||||
| DSN: 324-770-0035 |
Contractors-EU Citizens,non ROU
| No. | Given Name | Surname | Date of Birth | Place of Birth | Gender | Citizenship | ID Number/ Serial Number of personal identity card | Personal phone number and personal e-mail address | Employer's complete name | Country of origin of the employer | Employer's contact data | Employer registration number from the Romanian Office of Commerce Registry | Position | Purpose of the visit (type of work to be performed) | Place of performing the work on the Base | Place of work on the base | Estimated Date of Arrival | Estimated Date of departure | Registration Number of the individual's working contract | Period of performance of the individual's working contract | Approved access period | Comments | |
| Start | Finish | ||||||||||||||||||||||
| 0 | 1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10 | 11 | 12 | 13 | 14 | 15 | 15 | 16 | 17 | 18 | 19 | 20 | 21 | 22 |
| POC:Henry N. Dockins |
| e-mail: henry.dockins2eu.navy.mil |
| DSN: 324-770-0035 |
Contractors-non EU, non-US
| No. | Given Name | Surname | Date of Birth | Place of Birth | Gender | Citizenship | ID Number/ Serial Number of personal identity card/ Passport Number | Personal phone number and personal e-mail address | Employer's complete name | Country of origin of the employer | Employer's contact data | Employer registration number from the Romanian Office of Commerce Registry | Position | Purpose of the visit (type of work to be performed) | Place of performing the work on the Base | Place of work on the base | Estimated Date of Arrival | Estimated Date of departure | Romanian Visa (scanned copy of the stay permit) | Registration Number of the individual's working contract | Period of performance of the individual's working contract | Approved Access Period | Comments | |
| Start | Finish | |||||||||||||||||||||||
| 0 | 1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10 | 11 | 12 | 13 | 14 | 15 | 15 | 15 | 17 | 18 | 19 | 20 | 21 | 22 | 23 |
| 1 | ||||||||||||||||||||||||
| 2 | ||||||||||||||||||||||||
| 3 | ||||||||||||||||||||||||
| … |
| POC:Henry N. Dockins |
| e-mail: henry.dockins2eu.navy.mil |
| DSN: 324-770-0035 |
Dependents
| No. | Given Name | Surname | Date of Birth | Place of Birth | Gender | Citizenship | Passport Number | Sponsor contact information | Title / Position | Estimated Date of Arrival | Estimated Date of departure | Approved access period | Comments | |
| Start | Finish | |||||||||||||
| 0 | 1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10 | 11 | 12 | 13 | 14 |
| 1 | ||||||||||||||
| 2 | ||||||||||||||
| 3 | ||||||||||||||
| … |
| POC:Henry N. Dockins |
| e-mail: henry.dockins2eu.navy.mil |
| DSN: 324-770-0035 |
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