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Fort Bliss Installation Access Pass Application

Sex:Eye Color:Start:End:NCIC Checked By:Date:DD/MM/YYYYDD/MM/YYYYSSN:Phone #:Duration of pass :PRIVACY ACT INFORMATIONA uthority: Title 10, United States Code, Section 2012 Principal Purpose: The purpose for requesting personal information is to assist civilian Access on to Fort Use: Information provided may be used to determine suitability of applicants desiring Access on to Fort Bliss as well as for other lawful purposes including law enforcement and litigation. For other official purposes, information on this form may be provided to other law enforcement : Submitting requested information is voluntary, however failure to provide information will result in Access privileges being refused or withdrawn. The Privacy Act Statement will apply throughout the duration of the Installation pass .

Routine Use: Information provided may be used to determine suitability of applicants desiring access on to Fort Bliss as well as for other lawful purposes including law enforcement and litigation. For other official purposes, information on this form may be provided to other law enforcement agencies.

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