Attachment 10: Personnel Security Clearance Template
Updated
A Word document (41 KB) attached to NGA Hrm-Ii RFP, from the National Geospatial-intelligence Agency (NGA). Due Nov 18, 2026, 12:00 PM (UTC-5).
File name: Attachment_10_Personnel_Security_Clearance_Template.docx
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(U) Personnel Security Clearance Information (Template) HRM II Attachment 10 PCL
RFP HM047626R0018
Full Name
(Last, First Middle)
Current Employer
DOB
POB
SSN
Type of Investigation/
Date
SCI Eligibility Date
Status of SCI
Govt. Sponsor
YYYYYY, Jane Ann
XYZ Company
05/06/1970
Washington, DC
666-66-2345
SSBI-PR
01/20/2009
01/25/2009
Briefed
DIA
XXXXX, John Henry
BBB Company
02/01/1981
San Diego, CA
777-77-7890
SSBI
07/26/2001
08/30/2011
Debriefed
NGA
Note: This document contains personally identifiable information and is for official use only. Unauthorized dissemination or use of personally identifiable information is a violation of Federal law. Individuals in violation may be subject to fines, disciplinary actions or both (P.L. 93-579)
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Other documents in this bid
- Attachment 16: Request for Proposals Supp Sec 4 Instructions Con Notices to Offeror Rev2
- Attachment 16: Request for Proposals Supplemental Sec 4 Instructions Con Notices to Offeror Rev1
- Attachment 16: Request for Proposals Supplemental Section 4 Instructions Con Notices to Offeror
- Attachment 13: HRMII Security Classification (DD 254)
- Attachment 15: NGA License Agreement
- Attachment 1: HRMII Performance Work Statement
- Attachment 3: OCI Disclosure and Analysis Form
- Attachment 5: HRMII Key Personnel Resume Template
- Attachment 6: HRMII Past Performance Questionnaire
- Attachment 7: Master Past Performance Reference List Template
- Attachment 8: Facility Security Clearance Template
- Attchment 17 Request for Proposals Supplemental Section 5 - Evaluation Factors for Award