01-Base_access_blank_form_MK.XLSX
XLSX spreadsheet 28 KB Posted
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- W912GB19R0028
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US Forces - DOD CACs
| No. | Given Name (First Name) | Surname (Last Name) | Date of Birth dd/mm/yr | Place of Birth | Gender | Citizenship | Passport Number or ID number (as applicable) | US Military Agency / Organization | Grade / Rank | Title / Position | General purpose of the visit | Arrival date | Departure date | Comments |
| 0 | 1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10 | 11 | 12 | 13 | 14 |
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&"Arial,Bold"&12US FORCES PERSONNEL THAT ENTER THE BASE ON OFFICIAL DUTY
Contractors-US Employees
| No. | Given Name (First Name) | Surname (Last Name) | Date of Birth | Place of Birth | Gender | Citizenship (for double/ multiple citizenships) | Passport Number | Employer's complete name | Employer's country of origin | Employer's contact data | Employer registration number from the Romanian Office of Commerce Registry | Position | Purpose of the visit (type of work to be performed) | Place of performing the work on the Base | Place of work on the base | Arrival date | Departure date | Schedule (Hours and days of Normal Daily Work) | Registration Number of the individual's working contract | Period of performance of the individual's working contract | Comments |
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| VEHICLE | MAKE | MODEL | YEAR | COLOR | LICENSE # | ||||||||||||||||
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&"Arial,Bold"&12CONTRACTORS AND SUBCONTRACTORS EMPLOYEES, UNITED STATES CITIZENS
Contractors-ROU Citizens
| No. | Given Name (First Name) | Surname (Last Name) | Personal Numeric Code | Date of Birth | Place of Birth | Gender | Citizenship (for double/ multiple citizenships) | Passport Number (for double/ multiple citizenships) | Romanian Identity Card serial number | Employer's complete name | Country of origin of the employer | Employer's contact data | Employer registration number from the Romanian Office of Commerce Registry | Position | Purpose of the visit (type of work to be performed) | Place of work on the Base | Arrival date | Departure date | Schedule (Hours and days of Normal Daily Work) | Registration Number of the individual's working contract | Period of performance of the individual's working contract | Comments |
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&"Arial,Bold"&12CONTRACTORS AND SUBCONTRACTORS EMPLOYEES, ROMANIAN CITIZENS
Contractors-EU Citizens,non-ROU
| No. | Given Name (First Name) | Surname (Last name) | Date of Birth | Place of Birth | Home Address | City of Residence | Province/State/County | Gender | Citizenship | ID Number/ Serial Number of personal identity card | Employer's complete name | Country of origin of the employer | Employer's contact data | Employer registration number from the Romanian Office of Commerce Registry | Position | Purpose of the visit (type of work to be performed) | Place of performing the work on the Base | Place of work on the base | Arrival date | Departure date | Schedule (Hours and days of Normal Daily Work) | Registration Number of the individual's working contract | Period of performance of the individual's working contract | Comments |
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| POC INFORMATION AT MK: |
&"Arial,Bold"&12CONTRACTORS AND SUBCONTRACTORS EMPLOYEES, NON-ROMANIAN CITIZENS, OF EUROPEAN UNION MEMBER COUNTRIES
Contractors-non EU, non-US
| No. | Given Name (First Name) | Surname (Last Name) | Date of Birth | Place of Birth | Home Address | City of Residence | Province/State/County | Gender | Citizenship | ID Number/ Serial Number of personal identity card/ Passport Number | Employer's complete name | Country of origin of the employer | Employer's contact data | Employer registration number from the Romanian Office of Commerce Registry | Position | Purpose of the visit (type of work to be performed) | Place of work on the base | Arrival date | Departure date | Schedule (Hours and days of Normal Daily Work) | Romanian Visa (scanned copy of the stay permit) | Registration Number of the individual's working contract | Period of performance of the individual's working contract | Comments |
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| POC INFORMATION AT MK: |
&"Arial,Bold"&12CONTRACTORS AND SUBCONTRACTORS EMPLOYEES, NON-EUROPEAN UNION CITIZENS, NON-UNITED STATES CITIZENS
Fill-in Directions In accordance with the Implementing Arrangement between the United States and Romanian Designated Authorities regarding the provision of Data concerning United States Forces, United States Contractors, Contractors Employees and Dependents Working of Living on the Base, signed at 18 of December 2012 at Bucharest, the data filled-in this form will comply with the following RULES:
| 1. The Data will be sent electronically. |
| 2. The Data will contain the information required in each column of each sheet, as requested, with each sub-category listed separately. |
| 3. The Data will be filled-in in accordance with the purpose of each sheet |
| 4. Each access request and approval is only valid for the period of stay in Romania (at the Base) as requested and approved. For additional periods of time, a new request must be submitted. |
| 5. Abbreviations will not be used |
| 6. Requests forwarded through other channels than the official, established in the IA, will be automatcially rejected. |
| 7. Personnel entering the Base will be briefed initially with security rules to be complied with inside the Base. Violating these rules will terminate the access to the Base for the employee(s) involved or, depending on the situation, for the employer. |
| 8. The requests will be transmitted, by e-mail, to the US POC who will forward to the ROU POC with a standard format: [US Military organization/agency]-[Date format xxxx.xx.xx (year, month, day] (of the day when the request is submitted). [Number of request for that day](ex. USACE-2013.01.16-1). ALL requests will be submited 7 (Seven) working day prior to the actual visit day to the base. |
| 9. The file containing the ROU answer for US request will be submitted to US POC, by e-mail, with the following structure: [ROU Registration number][US Military organization/agency]-[Date in the format xxxx.xx.xx (year, month, day]_[Number of request for that day](ex. J226-USACE-2013.01.16-1). |
| 10. The message containing the file will contain the number of requesters, the number of approved personnel and the number of rejected personnel. |
| 11. Any extension to existing approved request will need to be communicated to the US POC |
| for processing, using the appropriate spreadsheet with the requested new dates. |
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