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2016 NSCC Summer Training Camp Pendleton Base Access Request
Please complete all fields accurately. Include any individuals who are over 17 years of age who DO NOT HAVE A MILITARY ID OR BASE ACCESS PRIVILAGES. Complete one request for for each individual.
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Name Last
*
Last Name as it appears on your Driver's License, Passport, or State Identification (ID) Card
Your answer
Name First
*
First Name as it appears on your Driver's License, Passport, or State Identification (ID) Card
Your answer
Name Middle
Middle Name as it appears on your Driver's License, Passport, or State Identification (ID) Card
Your answer
Name Suffix
Suffix (Jr / II / III/ etc) as it appears on your Driver's License, Passport, or State Identification (ID) Card
Your answer
Date of Birth
*
Enter Date of Birth as it appears on your Driver's License or State Identification (ID) Card
MM
/
DD
/
YYYY
State Driver's License or ID Card Issued By
*
Select State from List Below - if a Passport, please select "PASSPORT" below. Note: if other, please be sure to include an email address or phone # so we can call you)
Choose
CA
NV
AZ
OR
Other
PASSPORT
State Credential Identifier
*
Enter your Driver's License, Passport, or State Identification Card (ID) Number
Your answer
Cell Phone # including Area Code (if available)
Your answer
E-Mail Address
Enter your e-mail address (if available)
Your answer
Unit Affiliation (if applicable)
*
Please indicate your home unit affiliation. For those without a unit affiliation, please enter "NO AFFILIATION."
Your answer
"I am a....."
Choose
NSCC Auxillary Member, Instructor or Officer
Parent
Relative of a Cadet or Staff
Friend of a Cadet or Staff
Other
Submit
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