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INSTRUCTIONS FOR NATO SECURITY CLEARANCE …

INSTRUCTIONS FOR NATO SECURITY CLEARANCE CERTIFICATE (NSCC) The following certificate f orm must be completed in full. F ailure to complete all of the fields will result i n the (NSCC) b eing rejected. GENERAL INSTRUCTIONS Section 1 (Top half of form) The informati on requested within the fields of the top tw o lines of the form can beverified using the Joint Personnel Adjudication System (JPAS). The field below t he In accordance with paragraph should st ate t he subject s NATO SECURITY CLEARANCE level (select from the bulleted items listed on t he form). Provide name of the NATO Agency to be visited and its address. Provide the date of issue, which is the date of the first day of the visit.

Certification is hereby given that: Visitor Full Name: Date of Birth: Place of Birth: (City) (State) (Country) Has been granted a security clearance by the Government of: United States of America . In accordance with current NATO regulations, including the Security Annex to C-M (64) 39 in the

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