M7102-384760E-1-Request for visit

REQUEST FOR VISIT
for visitors to the Swedish Armed Forces
One Time
Recurring
Emergency
1. Administrative data
Requestor
Date
To
Visit ID
2. Requesting government agency or industrial facility
Name
Postal address
3. Government agency or industrial facility to be visited
Name
Address
Point of contact
Telephone
Telefax
4. Date of visit
Arrival (YY/MM/DD)
Departure (YY/MM/DD)
5. Type of visit (Select one from each column)
Government initiative
Commercial initiative
Initiated by request or facility
By invitation of the facility to be visited
©[email protected]
M7102-384760E Utgåva 1 (FMV) 2011-08
6. Subject to be discussed
7. Anticipated level of classified information to be involved
Unclassified
Restricted
Confidential
Secret
Top Secret
REQUEST FOR VISIT
for visitors to the Swedish Armed Forces
8. Particulars of visitors
Name
Rank
Date of birth
Security clearance
ID/PP number
Nationality
Company/agency
Name
Rank
Date of birth
Security clearance
ID/PP number
Nationality
Company/agency
Name
Rank
Date of birth
Security clearance
ID/PP number
Nationality
Company/agency
Name
Rank
Date of birth
Security clearance
ID/PP number
Nationality
Company/agency
Name
Date of birth
Security clearance
ID/PP number
Nationality
Company/agency
©[email protected]
M7102-384760E Utgåva 1 (FMV) 2011-08
Rank
Continue on additional sheet
REQUEST FOR VISIT
for visitors to the Swedish Armed Forces
9. The security office of the requesting government agency or industrial facility
Name
Telephone
Signature
10. Certification of clearance
Name
Address
STAMP
Telephone
Signature
11. Requesting national/designated security authority
Name
Address
STAMP
Telephone
Signature
12. Remarks
13. Further information
©[email protected]
M7102-384760E Utgåva 1 (FMV) 2011-08
a. Visitor(s) will carry
b. Visitor(s) will use
Uniform
Yes
No
Weapons
Yes
No
Civilian Vehicle
Yes
No
Military Vehicle
Yes
No
Public Train
Yes
No
Commercial airline
Yes
No
Military aircraft
Yes
No
Naval unit or vessel
Yes
No