j24_access.xlsx
XLSX spreadsheet 13 KB Posted
- Attached to
- Job Order Contract (JOC) - Construction Federal contract opportunity
- Solicitation number
- W9124P-16-R-0006
About this file
J24 - Background Checks for Installation Access
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Sheet2
BACKGROUND CHECKS FOR INSTALLATION ACCESS
| NAME | SSN | DOB | RACE/SEX | HT / WT | HAIR/EYE | POB | LICENSE/STATE | Passport # - Alien Reg. # if not born in the US |
| Smith, John A. | 111-22-3333 | 2-Jan-80 | W/M | 73 / 210 | BR/BL | AL | 1021021, NY |
Privacy Act Notice - Social Security Number Disclosure: Purposes and Uses: The primary use of information collected will be to run background checks for issuance of USAG-Redstone Badges. RELEASE OF INFORMATION: Information may be released to state, local, or Congressional offices which have a need to know in connection with program oversight or when relevant to civil, criminal, administrative, or regulatory investigations or proceedings. EFFECT OF NONDISCLOSURE: Failure to provide your social security number (SSN) will result in USAG-Redstone's inability to issue an identification or visitor badge. Disclosure of your SSN is MANDATORY in order to obtain a USAG-Redstone badge. Executive Order 9397 authorizes the use of the SSN to distinguish between you and other people who may have identical names and birth dates. The SSN will be used to match the person completing this form with any correct individual master records currently in NCIC or the USAG-Redstone MAX Badging System.This information is protected by the Privacy Act of 1974.
ATTACHMENT J24
Sheet3
File details come from the government source that posted it. Updated .