Instructions For U-1201 - Request For Visit (Rfv) Form Page 4
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8UNCLASSIFIED
REQUEST FOR VISIT (RFV)
VISIT ID NO: ______________________________________
REFERENCE RFV - FORMAT, PARA 3
ANNEX 1 TO RFV FORMAT
GOVERNMENT AGENCY OR INDUSTRIAL FACILITY TO BE VISITED
2.
NAME:
____________________________________________________________________
ADDRESS:
____________________________________________________________________
TEL NO.:
____________________________________________________________________
FAX:
____________________________________________________________________
POINT OF CONTACT:
___________________
EMAIL: __________________________________________________
3.
NAME:
____________________________________________________________________
ADDRESS:
____________________________________________________________________
TEL NO.:
____________________________________________________________________
FAX:
____________________________________________________________________
POINT OF CONTACT:
___________________
EMAIL: __________________________________________________
4.
NAME:
____________________________________________________________________
ADDRESS:
____________________________________________________________________
TEL NO.:
____________________________________________________________________
FAX:
____________________________________________________________________
POINT OF CONTACT:
___________________
EMAIL: __________________________________________________
5.
NAME:
____________________________________________________________________
ADDRESS:
____________________________________________________________________
TEL NO.:
____________________________________________________________________
FAX:
____________________________________________________________________
POINT OF CONTACT:
___________________
EMAIL: __________________________________________________
6.
NAME:
____________________________________________________________________
ADDRESS:
____________________________________________________________________
TEL NO.:
____________________________________________________________________
FAX:
____________________________________________________________________
POINT OF CONTACT:
___________________
EMAIL: __________________________________________________
7.
NAME:
____________________________________________________________________
ADDRESS:
____________________________________________________________________
TEL NO.:
____________________________________________________________________
FAX:
____________________________________________________________________
POINT OF CONTACT:
___________________
EMAIL: __________________________________________________
FORM U-1202
NOV 2014
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