Attachment_X-Form_103-E_Velocity_Enrollment_Long_Term_Up_Range_Access.xlsx
XLSX spreadsheet 46 KB Posted
- Attached to
- UpRange Security Services Federal contract opportunity
- Solicitation number
- W911SG-16-R-0001
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Attachment X - Form 103-E Velocity Enrollment Long-Term Up-Range Access
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Front Sheet WHITE SANDS MISSILE RANGE VELOCITY ENROLLMENT REQUEST (ESL Form 103-E)
Sec 2. LAST NAME Sec 3. FIRST NAME & MIDDLE INITIAL Sec 4. CAC Card Yes or No Sec 5. CAC Expiration Date Sec 7. Uprange Access requested (YES/NO) Sec 9. Name of individuals Organization. Sec 8. START DATE (YYYYMMDD) Sec 10. EXPIRATION DATE (YYYYMMDD)
| STEP 11. | YES OR NO | Enrollment requests will be acted on as quickly as is reasonable, but allow a minimum of 7 working days before attempting uprange travel based on this request. |
| By requesting enrollment into Velocity and reqesting uprage access the Sponsoring official is accepting responsibility that the individuals require this access and are properly informed on their Up Range responsibilities including but not limited to Escort resposibitities and UXO Training. |
| STEP 12. |
| Name of Sponsoring / Vouching Official: |
| Sponsor's Organization: |
| Sponsor's Phone Number: |
| Date of Request: |
| Physical Security Approval: |
| Velocity Enrollment / Long term Up Range access request Form 103, Current as of 19 March 2015 |
Approve
| 5.00 | |||||||||||||||||||
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