W9127819T0001_Solicitation-Attachment_2_Sample_Fingerprint_Card.pdf

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Provide Park Attendant services at various recreational areas in the U. S. Army Corps of Engineers, Mobile District, Alabama, Mississippi, Georgia and Florida
Solicitation number
W9127819T0001
Issued by

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W9127819T0001 Solicitation-Attachment 2 Sample Fingerprint Card

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W9127819T0001_Solicitation-Attachment_1_PSIP_Form.pdf PDF
W9127819T0001_Solicitation-Attachment_3_OF306_Form.pdf PDF
W9127819T0001_Solicitation-Website_Documents.pdf PDF
W9127819T0001_Solicitation.pdf PDF

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FD-258 (Rev. 5-15-17) 1110-0046

LEAVE BLANK

APPLICANT

TYPE OR PRINT ALL INFORMATION IN BLACK FBI LEAVE BLANK

LAST NAME FIRST NAME MIDDLE NAMENAM

ALIASES AKA

DATE OF BIRTH DOB

Month Day Year

PLACE OF BIRTH POBSEX RACE HGT. WGT. EYES HAIR

LEAVE BLANK

CITIZENSHIP CTZ

YOUR NO. OCA

O R I

CLASS

REF.

UNIVERSAL CONTROL NO. UCN

ARMED FORCES NO. MNU

SOCIAL SECURITY NO. SOC

MISCELLANEOUS NO. MNU

SIGNATURE OF PERSON FINGERPRINTED

RESIDENCE OF PERSON FINGERPRINTED

DATE

EMPLOYER AND ADDRESS

REASON FINGERPRINTED

SIGNATURE OF OFFICIAL TAKING FINGERPRINTS

1. R. THUMB 2. R. INDEX 3. R. MIDDLE 4. R. RING 5. R. LITTLE

6. L. THUMB 7. L. INDEX 8. L. MIDDLE 9. L. RING 10. L. LITTLE

L. THUMB R. THUMB RIGHT FOUR FINGERS TAKEN SIMULTANEOUSLYLEFT FOUR FINGERS TAKEN SIMULTANEOUSLY

* See Privacy Act Notice on Back

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Typewritten Text

SON: A343 DA IPAC: DA-ARMY

SOI: A343

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ATTACHMENT 2

SAMPLE FINGERPINT CARD

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