Serial Number Registration Form

NUWC Keyport 8554 Serial Number Assignment
[email protected]
To be filled in by Requestor

REQUESTING ACTIVITY

Requestor:

Activity or Company:

Email:

Phone:

Date of Request:

Required by Date:

DOCUMENTATION INFORMATION

System:
Drawing/PN:

Nomenclature:
Contract Number:

Contract

Request
Purpose:

Base Year:

C32 Quote

Option Year:

Quote Number:

Weapon Turn,
Conversion, or Harvesting
To be filled in by NUWC Keyport N321 Only

SERIAL NUMBER ASSIGNMENT

SERIAL NUMBER

Countr

FROM

TO
y

QTY

Contracts

CLIN/SLIN

*Please note: one form is required for each PN. For contracts with multiple part number deliveries on CLINs, please submit one form per part number.

For NUWC Newport 8554 Input Only

**SERIAL NUMBERS ARE ONLY VALID FOR USE WHEN APPROVED BY N321

TECHNICAL POC**

Assigned by:

Approved by:

Date:

UMM/NIIN assigned to PN (enter all that apply):

ITEM: 4T-1356-01-106-5985 WW98 Initiating Propellant

DWG: 2508738 REV AA

Forward completed form to [email protected]. Questions should be directed to Diana Dereje at [email protected].