NNK16576823R_Attachment_J.1.I_TAA.doc
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- Solicitation number
- NNK16576823R
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KSC Visitor Records Center Visitor TAA request form
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KSC VISITOR RECORDS CENTER VISITOR TAA REQUEST
Fax No. 867-4854
Mail Code: SGS-VRC
Phone No. 867-7763
Name (last, first, mi)
SSN #
Date of Birth
Company Name
TAA Type: Yellow-Unescorted (needs PRP)
Pink-Escorted
TAA list numbers requested
Date of Visit: Start Date
End Date
Badging Official Information
Badging Authority Name (printed)
Badging Authority Company (printed)
Telephone No.
Fax No.
Other No.
Badging Authority Signature
NOTICE Privacy Act 1974 PL 93-579
The attached information is protected by the "ACT" and disclosed as provided by NASA rules Part 1212 and the provisions of 5
U.S.C. 552A.
Any release or use of this information OTHER than that specifically stated is PROHIBITED by law.
KSC FORM 28-1223 NS (PA) (06/08)
File details come from the government source that posted it. Updated .