AMAG Request Form.xls
XLS spreadsheet 30 KB Posted
- Solicitation number
- N6945022R0007
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| N6945022R0007 HVAC Solicitation.pdf | ||
| SectionJ_Documents and Attachments.pdf | ||
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Text version
Sheet1
| AMAG | ||
| Access Management System | ||
| This information will be entered into AMAG in preparation for your arrival - passes picked up at BLDG. 9. | ||
| "FOR OFFICIAL USE ONLY" | ||
| Last Name: | First Name (no nicknames): | Middle Name (mandatory): |
| US Citizen | Yes/No | |
| Lawful Permanent Resident | Alien Registration # | |
| An Alien with Employment Authorization Document (EAD) # | ||
| If your visitor does not qualify with any of the above, you must contact base Security | ||
| Bernardo Santana | ||
| Company Name: | Drivers License No: | Telephone number |
| Home Address: | ||
| City: | State: | Zip Code: |
| Start Date: | End Date: | |
| ***Maximum of 30 days | ||
| Signature: | DATE | |
| ***Typed name in Signature line will suffice*** | ||
| Authority: 5 U.S.C. 522A, and Privacy Act of 1974 | ||
| Principle Purpose: To readily identify all personnel via numerical system of records that list individuals who are allowed to access the | ||
| military reservation, known as Naval Air Station, Jacksonville in furtherance of the stations mission; and to comply verify and update | ||
| the stations authorized user list in support of administrative and security measures. | ||
| Routine Uses: To numerically identify and account for persons aboard Naval Air Station Jacksonville, their entrance, exit and authorized locations. | ||
| "For Official Use Only" | ||
| Revised: February 27, 2014 |
Sheet2
Sheet3
File details come from the government source that posted it. Updated .