Application for RAIC or ID Badge

Application FOR RAIC OR ID Badge THIS FORM MUST BE FILLED OUT ELECTRONICALLY HAND WRITTEN FORMS WILL NOT BE ACCEPTED REQUESTING OFFICER As a Requesting Officer for my organization, I request that the Calgary Airport Authority issue a RAIC, Temp or ID Badge of the type indicated to this applicant. On behalf of my organization, I accept responsibility for the RAIC, Temp or ID Badge issued and commit to pay all fees levied by the Calgary Airport Authority for loss or misuse. NAME POSITION EMPLOYER CONTRACTED BY DEPARTMENT, DIVISION OR CONTRACTOR NAME EMPLOYER ADDRESS (Street or Box number) CITY PROVINCE POSTAL CODE BUSINESS PHONE RAIC REQUESTED FOR (Check only boxes that apply) RAIC Canada Pass Aircrew ID Badge (Pre-Security Only) NEW APPLICATIONS ONLY SECURITY CONTROL REQUESTED Escort Required Search Required DATE APPLICANT COMPLETED SWING GATE ELEARNING (as applicable- must include Certificate and Access Level Application form) (YYYY-MM-DD) DATE APPLICANT COMPLETED SUPPLY CHAIN TRAINING (YYYY-MM-DD) DATE OF Application (YYYY-MM-DD) EMPLOYER SIGNATURE CONTRACTOR SIGNATURE APPLICANT SURNAME GIVEN NAMES BIRTH DATE (YYYY-MM-DD) HEIGHT (Mandatory) WEIGHT (Mandatory) EYE COLOUR (At time of Application ) HAIR COLOUR (At time of Application ) HOME ADDRESS (Street or Box number) CITY PROVINCE POSTAL CODE mobile PHONE (Include area code) WORK PHONE (Include area code) HO

MOBILE PHONE : WORK PHONE (Include area code) HOME PHONE (Include area code) OCCUPATION . APPLICANT’S CONSENT AND CERTIFICATION. For the purpose of this application for a Restricted Area Identity Card (RAIC) I consent to the collection and storage of the personal information on this application form.

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