NFPC_VISITOR_DATA_REQUEST_FORM.pdf

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Attached to
6-Axis CNC Horizontal Boring Mill (designated at SU-23) Federal contract opportunity
Solicitation number
SPM4A8-17-Q-0028
Issued by
Defense Logistics Agency Aviation

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Request form to obtain access to the Naval Foundry and Propeller Center

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FOREIGN_NFPC_VISITOR_DATA_REQUEST_FORM.pdf PDF

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Requests may be submitted to USFF_NNSY_PNBC_PHILLY_NFPC‐Security@navy.mil or may be faxed to 215‐897‐3320.

NFPC VISITOR DATA REQUEST FORM

Date of Request:_________________

VISITORS FULL NAME (First, Middle, Last)

GENDER

FULL SOCIAL SECURITY NUMBER

COUNTRY OF ORIGIN/CITZENSHIP

DATE OF BIRTH (MM/DD/YYYY)

PLACE OF BIRTH (city and country)

RACE

SECURITY CLEARANCE (Date and granting authority)

VISITOR ORGANIZATION/EMPLOYER

MEETING START DATE AND TIME

MEETING ENDING DATE AND TIME

PURPOSE OF MEETING

Next section for NFPC use only

BUILDING(S) & ROOM NUMBER(S) TO BE

VISITED

WILL CRITICAL INFRASTRUCTURE

AND/OR SENSITIVE WORK AREAS BE

VISITED?

HOSTING OFFICIAL (name, title, code, office/bldg, room number, and phone number)

ESCORT INFORMATION (If different from Hosting Official)

JPAS:

Pass Issued, #, Expiration date:

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