+---------+------------------------------------------------+-----------+
| *BPA F  | **U.S. DEPARTMENT OF ENERGY**                  | *E        |
| 56      |                                                | lectronic |
| 32.08e* | **BONNEVILLE POWER ADMINISTRATION**            | Form      |
|         |                                                | Approved  |
| *(      |                                                | by Forms  |
| 03-06)* |                                                | Mgmt.     |
|         |                                                | --03      |
| *(Page  |                                                | /24/2006* |
| 1)*     |                                                |           |
+---------+------------------------------------------------+-----------+
| **INSTR |                                                |           |
| UCTIONS |                                                |           |
| FOR     |                                                |           |
| COM     |                                                |           |
| PLETING |                                                |           |
| THE     |                                                |           |
| FOREIGN |                                                |           |
| N       |                                                |           |
| ATIONAL |                                                |           |
| REGIS   |                                                |           |
| TRATION |                                                |           |
| SHORT & |                                                |           |
| LONG    |                                                |           |
| FORM**  |                                                |           |
|         |                                                |           |
| BPA     |                                                |           |
| Host    |                                                |           |
| will    |                                                |           |
| assist  |                                                |           |
| the     |                                                |           |
| foreign |                                                |           |
| n       |                                                |           |
| ational |                                                |           |
| (FN) in |                                                |           |
| com     |                                                |           |
| pleting |                                                |           |
| the     |                                                |           |
| form,   |                                                |           |
| and the |                                                |           |
| Host is |                                                |           |
| resp    |                                                |           |
| onsible |                                                |           |
| for     |                                                |           |
| com     |                                                |           |
| pleting |                                                |           |
| blocks  |                                                |           |
| 8, 9,   |                                                |           |
| 10      |                                                |           |
| en      |                                                |           |
| tirely. |                                                |           |
| All     |                                                |           |
| r       |                                                |           |
| equired |                                                |           |
| fields  |                                                |           |
| must be |                                                |           |
| co      |                                                |           |
| mpleted |                                                |           |
| prior   |                                                |           |
| to      |                                                |           |
| sub     |                                                |           |
| mitting |                                                |           |
| the     |                                                |           |
| form to |                                                |           |
| "       |                                                |           |
| Foreign |                                                |           |
| Visits  |                                                |           |
| &       |                                                |           |
| Assig   |                                                |           |
| nments" |                                                |           |
| e-mail  |                                                |           |
| inbox   |                                                |           |
| for     |                                                |           |
| pro     |                                                |           |
| cessing |                                                |           |
| by the  |                                                |           |
| Foreign |                                                |           |
| Visits  |                                                |           |
| and     |                                                |           |
| Assi    |                                                |           |
| gnments |                                                |           |
| (FV&A)  |                                                |           |
| staff.  |                                                |           |
| All     |                                                |           |
| other   |                                                |           |
| fields, |                                                |           |
| though  |                                                |           |
| not     |                                                |           |
| re      |                                                |           |
| quired, |                                                |           |
| should  |                                                |           |
| be      |                                                |           |
| co      |                                                |           |
| mpleted |                                                |           |
| if the  |                                                |           |
| foreign |                                                |           |
| n       |                                                |           |
| ational |                                                |           |
| is able |                                                |           |
| to do   |                                                |           |
| so.     |                                                |           |
|         |                                                |           |
| **NOTE: |                                                |           |
| \*      |                                                |           |
| DENOTES |                                                |           |
| R       |                                                |           |
| EQUIRED |                                                |           |
| INFORMA |                                                |           |
| TION.** |                                                |           |
+---------+------------------------------------------------+-----------+
| **B     |                                                |           |
| LOCK 1. |                                                |           |
| \*Name  |                                                |           |
| of      |                                                |           |
| Visit   |                                                |           |
| or/Assi |                                                |           |
| gnee.** |                                                |           |
| Enter   |                                                |           |
| the     |                                                |           |
| c       |                                                |           |
| omplete |                                                |           |
| First,  |                                                |           |
| Middle  |                                                |           |
| and     |                                                |           |
| last    |                                                |           |
| Name of |                                                |           |
| the     |                                                |           |
| Foreign |                                                |           |
| V       |                                                |           |
| isitor. |                                                |           |
| If no   |                                                |           |
| middle  |                                                |           |
| name,   |                                                |           |
| enter   |                                                |           |
| the     |                                                |           |
| letters |                                                |           |
| "NMI"   |                                                |           |
+---------+------------------------------------------------+-----------+
| **BLOCK |                                                |           |
| 2. Form |                                                |           |
| Determ  |                                                |           |
| ination |                                                |           |
| Inform  |                                                |           |
| ation** |                                                |           |
+---------+------------------------------------------------+-----------+
| *       |                                                |           |
| *\*Name |                                                |           |
| of      |                                                |           |
| f       |                                                |           |
| acility |                                                |           |
| to be   |                                                |           |
| vis     |                                                |           |
| ited:** |                                                |           |
| State   |                                                |           |
| the     |                                                |           |
| name of |                                                |           |
| the     |                                                |           |
| f       |                                                |           |
| acility |                                                |           |
| to be   |                                                |           |
| visited |                                                |           |
+---------+------------------------------------------------+-----------+
| **Is    |                                                |           |
| the     |                                                |           |
| meeting |                                                |           |
| off-    |                                                |           |
| site:** |                                                |           |
| Mark    |                                                |           |
| the     |                                                |           |
| appr    |                                                |           |
| opriate |                                                |           |
| box     |                                                |           |
+---------+------------------------------------------------+-----------+
| \**     |                                                |           |
| *Select |                                                |           |
| the     |                                                |           |
| S       |                                                |           |
| ecurity |                                                |           |
| Area    |                                                |           |
| Type**: |                                                |           |
| Read    |                                                |           |
| each    |                                                |           |
| def     |                                                |           |
| inition |                                                |           |
| car     |                                                |           |
| efully, |                                                |           |
| then    |                                                |           |
| mark    |                                                |           |
| the     |                                                |           |
| appr    |                                                |           |
| opriate |                                                |           |
| box     |                                                |           |
+---------+------------------------------------------------+-----------+
| **\*    |                                                |           |
| Country |                                                |           |
| of      |                                                |           |
| Empl    |                                                |           |
| oyer:** |                                                |           |
| State   |                                                |           |
| the     |                                                |           |
| country |                                                |           |
| where   |                                                |           |
| the     |                                                |           |
| foreign |                                                |           |
| n       |                                                |           |
| ational |                                                |           |
| vi      |                                                |           |
| sitor's |                                                |           |
| e       |                                                |           |
| mployer |                                                |           |
| is      |                                                |           |
| l       |                                                |           |
| ocated. |                                                |           |
+---------+------------------------------------------------+-----------+
| *       |                                                |           |
| *\*Will |                                                |           |
| se      |                                                |           |
| nsitive |                                                |           |
| s       |                                                |           |
| ubjects |                                                |           |
| be      |                                                |           |
| discu   |                                                |           |
| ssed?** |                                                |           |
| Mark    |                                                |           |
| the     |                                                |           |
| appr    |                                                |           |
| opriate |                                                |           |
| box     |                                                |           |
| *(refer |                                                |           |
| to      |                                                |           |
| BPA's   |                                                |           |
| CSI     |                                                |           |
| list)*  |                                                |           |
+---------+------------------------------------------------+-----------+
| **\*Is  |                                                |           |
| this an |                                                |           |
| IAP-66  |                                                |           |
| (       |                                                |           |
| DS2019) |                                                |           |
| assign  |                                                |           |
| ment?** |                                                |           |
| Before  |                                                |           |
| making  |                                                |           |
| a       |                                                |           |
| sel     |                                                |           |
| ection, |                                                |           |
| read    |                                                |           |
| def     |                                                |           |
| inition |                                                |           |
| on the  |                                                |           |
| form,   |                                                |           |
| then    |                                                |           |
| [mark   |                                                |           |
| the     |                                                |           |
| appr    |                                                |           |
| opriate |                                                |           |
| bo      |                                                |           |
| x]{.und |                                                |           |
| erline} |                                                |           |
+---------+------------------------------------------------+-----------+
| \       |                                                |           |
| ***Does |                                                |           |
| the     |                                                |           |
| Host    |                                                |           |
| have a  |                                                |           |
| clear   |                                                |           |
| ance**? |                                                |           |
| Does    |                                                |           |
| the BPA |                                                |           |
| Host    |                                                |           |
| have an |                                                |           |
| "L"     |                                                |           |
| (SECRET |                                                |           |
| level)  |                                                |           |
| or "Q"  |                                                |           |
| (TOP    |                                                |           |
| SECRET  |                                                |           |
| level)  |                                                |           |
| cle     |                                                |           |
| arance? |                                                |           |
| If so,  |                                                |           |
| mark    |                                                |           |
| the     |                                                |           |
| appr    |                                                |           |
| opriate |                                                |           |
| box.    |                                                |           |
+---------+------------------------------------------------+-----------+
| *       |                                                |           |
| *\*Type |                                                |           |
| of      |                                                |           |
| Re      |                                                |           |
| quest** |                                                |           |
| If the  |                                                |           |
| foreign |                                                |           |
| n       |                                                |           |
| ational |                                                |           |
| here    |                                                |           |
| for 30  |                                                |           |
| cons    |                                                |           |
| ecutive |                                                |           |
| days    |                                                |           |
| they    |                                                |           |
| are     |                                                |           |
| con     |                                                |           |
| sidered |                                                |           |
| an      |                                                |           |
| Assi    |                                                |           |
| gnment. |                                                |           |
| If the  |                                                |           |
| FN is   |                                                |           |
| here    |                                                |           |
| for     |                                                |           |
| less    |                                                |           |
| than 30 |                                                |           |
| cons    |                                                |           |
| ecutive |                                                |           |
| days    |                                                |           |
| they    |                                                |           |
| are     |                                                |           |
| pr      |                                                |           |
| ocessed |                                                |           |
| as a    |                                                |           |
| Visit.  |                                                |           |
| If this |                                                |           |
| is an   |                                                |           |
| ex      |                                                |           |
| tension |                                                |           |
| of an   |                                                |           |
| e       |                                                |           |
| xisting |                                                |           |
| visit   |                                                |           |
| or      |                                                |           |
| assi    |                                                |           |
| gnment, |                                                |           |
| mark    |                                                |           |
| that    |                                                |           |
| box.    |                                                |           |
+---------+------------------------------------------------+-----------+
| **BLOCK |                                                |           |
| 3.      |                                                |           |
| Biogr   |                                                |           |
| aphical |                                                |           |
| Inform  |                                                |           |
| ation** |                                                |           |
+---------+------------------------------------------------+-----------+
| **\*    |                                                |           |
| Gender: |                                                |           |
| "       |                                                |           |
| Female" |                                                |           |
| or      |                                                |           |
| "M      |                                                |           |
| ale":** |                                                |           |
| Check   |                                                |           |
| the     |                                                |           |
| appr    |                                                |           |
| opriate |                                                |           |
| box     |                                                |           |
| **Is    |                                                |           |
| the     |                                                |           |
| visitor |                                                |           |
| cu      |                                                |           |
| rrently |                                                |           |
| in      |                                                |           |
| U.S.?** |                                                |           |
| Mark    |                                                |           |
| the     |                                                |           |
| appr    |                                                |           |
| opriate |                                                |           |
| box     |                                                |           |
+---------+------------------------------------------------+-----------+
| **\*Pe  |                                                |           |
| rmanent |                                                |           |
| R       |                                                |           |
| esident |                                                |           |
| A       |                                                |           |
| lien:** |                                                |           |
| Check   |                                                |           |
| the     |                                                |           |
| appr    |                                                |           |
| opriate |                                                |           |
| box     |                                                |           |
| **Green |                                                |           |
| Card    |                                                |           |
| Expira  |                                                |           |
| tion:** |                                                |           |
| note    |                                                |           |
| the     |                                                |           |
| mm/     |                                                |           |
| dd/yyyy |                                                |           |
| of      |                                                |           |
| exp     |                                                |           |
| iration |                                                |           |
+---------+------------------------------------------------+-----------+
| *       |                                                |           |
| *SS#:** |                                                |           |
| If the  |                                                |           |
| FN has  |                                                |           |
| a       |                                                |           |
| social  |                                                |           |
| s       |                                                |           |
| ecurity |                                                |           |
| number, |                                                |           |
| note it |                                                |           |
+---------+------------------------------------------------+-----------+
| **\*    |                                                |           |
| Country |                                                |           |
| of      |                                                |           |
| Citizen |                                                |           |
| ship:** |                                                |           |
| self    |                                                |           |
| expl    |                                                |           |
| anatory |                                                |           |
| *       |                                                |           |
| *\*Date |                                                |           |
| of      |                                                |           |
| B       |                                                |           |
| irth:** |                                                |           |
| self    |                                                |           |
| expl    |                                                |           |
| anatory |                                                |           |
+---------+------------------------------------------------+-----------+
| **\*    |                                                |           |
| Country |                                                |           |
| of      |                                                |           |
| B       |                                                |           |
| irth:** |                                                |           |
| self    |                                                |           |
| expl    |                                                |           |
| anatory |                                                |           |
| *       |                                                |           |
| *\*City |                                                |           |
| of      |                                                |           |
| B       |                                                |           |
| irth:** |                                                |           |
| self    |                                                |           |
| expl    |                                                |           |
| anatory |                                                |           |
+---------+------------------------------------------------+-----------+
| **\*Ali |                                                |           |
| ases:** |                                                |           |
| FN      |                                                |           |
| shall   |                                                |           |
| d       |                                                |           |
| isclose |                                                |           |
| all     |                                                |           |
| aliases |                                                |           |
+---------+------------------------------------------------+-----------+
| **BLOCK |                                                |           |
| 4.      |                                                |           |
| E       |                                                |           |
| mployer |                                                |           |
| Info    |                                                |           |
| rmation |                                                |           |
| *       |                                                |           |
| (Parent |                                                |           |
| Organ   |                                                |           |
| ization |                                                |           |
| Info    |                                                |           |
| rmation |                                                |           |
| and     |                                                |           |
| Addre   |                                                |           |
| ss)*:** |                                                |           |
| All     |                                                |           |
| fields  |                                                |           |
| are     |                                                |           |
| Self    |                                                |           |
| expl    |                                                |           |
| anatory |                                                |           |
+---------+------------------------------------------------+-----------+
| *       |                                                |           |
| *\*Inst |                                                |           |
| itution |                                                |           |
| /       |                                                |           |
| Company |                                                |           |
| Name    |                                                |           |
| Email   |                                                |           |
| Ad      |                                                |           |
| dress** |                                                |           |
+---------+------------------------------------------------+-----------+
| **\     |                                                |           |
| *Street |                                                |           |
| A       |                                                |           |
| ddress, |                                                |           |
| if more |                                                |           |
| than    |                                                |           |
| one,    |                                                |           |
| put it  |                                                |           |
| on the  |                                                |           |
| form    |                                                |           |
| \*Title |                                                |           |
| or      |                                                |           |
| P       |                                                |           |
| osition |                                                |           |
| and     |                                                |           |
| D       |                                                |           |
| uties** |                                                |           |
+---------+------------------------------------------------+-----------+
| **      |                                                |           |
| \*City, |                                                |           |
| State,  |                                                |           |
| Zip     |                                                |           |
| Code    |                                                |           |
| \*      |                                                |           |
| Country |                                                |           |
| of      |                                                |           |
| Emp     |                                                |           |
| loyer** |                                                |           |
+---------+------------------------------------------------+-----------+
| **Phone |                                                |           |
| Number, |                                                |           |
| Fax     |                                                |           |
| N       |                                                |           |
| umber** |                                                |           |
+---------+------------------------------------------------+-----------+
| **For   |                                                |           |
| BLOCK 5 |                                                |           |
| and 6,  |                                                |           |
| at      |                                                |           |
| least   |                                                |           |
| one     |                                                |           |
| section |                                                |           |
| must be |                                                |           |
| com     |                                                |           |
| pleted, |                                                |           |
| UNLESS  |                                                |           |
| the FN  |                                                |           |
| has     |                                                |           |
| co      |                                                |           |
| mpleted |                                                |           |
| info    |                                                |           |
| rmation |                                                |           |
| as a    |                                                |           |
| Lawful  |                                                |           |
| Pe      |                                                |           |
| rmanent |                                                |           |
| Resi    |                                                |           |
| dent.** |                                                |           |
+---------+------------------------------------------------+-----------+
| **BLOCK |                                                |           |
| 5. VISA |                                                |           |
| Informa |                                                |           |
| tion:** |                                                |           |
| self    |                                                |           |
| explan  |                                                |           |
| atory - |                                                |           |
| For     |                                                |           |
| VISA    |                                                |           |
| Type:   |                                                |           |
| Select  |                                                |           |
| one     |                                                |           |
| item    |                                                |           |
| from    |                                                |           |
| the     |                                                |           |
| drop    |                                                |           |
| down    |                                                |           |
| list    |                                                |           |
| pr      |                                                |           |
| ovided. |                                                |           |
+---------+------------------------------------------------+-----------+
| **BLOCK |                                                |           |
| 6.      |                                                |           |
| P       |                                                |           |
| assport |                                                |           |
| Informa |                                                |           |
| tion:** |                                                |           |
| self    |                                                |           |
| expl    |                                                |           |
| anatory |                                                |           |
+---------+------------------------------------------------+-----------+
| **BLOCK |                                                |           |
| 7.      |                                                |           |
| Place   |                                                |           |
| of Work |                                                |           |
| (only   |                                                |           |
| if      |                                                |           |
| di      |                                                |           |
| fferent |                                                |           |
| from    |                                                |           |
| emplo   |                                                |           |
| yer):** |                                                |           |
| Self    |                                                |           |
| Expl    |                                                |           |
| anatory |                                                |           |
|         |                                                |           |
| **Re    |                                                |           |
| garding |                                                |           |
| the     |                                                |           |
| block   |                                                |           |
| "Inte   |                                                |           |
| rpreter |                                                |           |
| Nee     |                                                |           |
| ded",** |                                                |           |
| this    |                                                |           |
| applies |                                                |           |
| to the  |                                                |           |
| FN and  |                                                |           |
| is only |                                                |           |
| in the  |                                                |           |
| event   |                                                |           |
| that    |                                                |           |
| the DOE |                                                |           |
| Count   |                                                |           |
| erintel |                                                |           |
| ligence |                                                |           |
| Officer |                                                |           |
| may     |                                                |           |
| need to |                                                |           |
| confer  |                                                |           |
| with    |                                                |           |
| the FN  |                                                |           |
| prior   |                                                |           |
| to site |                                                |           |
| a       |                                                |           |
| pproval |                                                |           |
| being   |                                                |           |
| g       |                                                |           |
| ranted. |                                                |           |
| The     |                                                |           |
| Count   |                                                |           |
| erintel |                                                |           |
| ligence |                                                |           |
| Officer |                                                |           |
| would   |                                                |           |
| use the |                                                |           |
| r       |                                                |           |
| esponse |                                                |           |
| to this |                                                |           |
| q       |                                                |           |
| uestion |                                                |           |
| to      |                                                |           |
| de      |                                                |           |
| termine |                                                |           |
| if an   |                                                |           |
| inte    |                                                |           |
| rpreter |                                                |           |
| would   |                                                |           |
| be      |                                                |           |
| needed  |                                                |           |
| when    |                                                |           |
| s       |                                                |           |
| peaking |                                                |           |
| with    |                                                |           |
| the FN. |                                                |           |
+---------+------------------------------------------------+-----------+
| *       |                                                |           |
| *BLOCKS |                                                |           |
| 8, 9,   |                                                |           |
| and 10  |                                                |           |
| must be |                                                |           |
| co      |                                                |           |
| mpleted |                                                |           |
| by the  |                                                |           |
| BPA     |                                                |           |
| HOST**  |                                                |           |
|         |                                                |           |
| **BLOCK |                                                |           |
| 8.      |                                                |           |
| Vi      |                                                |           |
| sit/Ass |                                                |           |
| ignment |                                                |           |
| S       |                                                |           |
| pecific |                                                |           |
| Inform  |                                                |           |
| ation** |                                                |           |
|         |                                                |           |
| \       |                                                |           |
| ***Will |                                                |           |
| this be |                                                |           |
| an off  |                                                |           |
| site    |                                                |           |
| mee     |                                                |           |
| ting?** |                                                |           |
| Self    |                                                |           |
| expl    |                                                |           |
| anatory |                                                |           |
| (off    |                                                |           |
| site    |                                                |           |
| m       |                                                |           |
| eetings |                                                |           |
| with    |                                                |           |
| Foreign |                                                |           |
| Na      |                                                |           |
| tionals |                                                |           |
| still   |                                                |           |
| require |                                                |           |
| pre-ap  |                                                |           |
| proval) |                                                |           |
|         |                                                |           |
| *       |                                                |           |
| *\*Will |                                                |           |
| se      |                                                |           |
| nsitive |                                                |           |
| s       |                                                |           |
| ubjects |                                                |           |
| be      |                                                |           |
| discu   |                                                |           |
| ssed?** |                                                |           |
| Self    |                                                |           |
| expl    |                                                |           |
| anatory |                                                |           |
| (refer  |                                                |           |
| to      |                                                |           |
| BPA's   |                                                |           |
| C       |                                                |           |
| ritical |                                                |           |
| and     |                                                |           |
| Se      |                                                |           |
| nsitive |                                                |           |
| Info    |                                                |           |
| rmation |                                                |           |
| List)   |                                                |           |
+---------+------------------------------------------------+-----------+
| **BLOCK |                                                |           |
| 9. Host |                                                |           |
| Inform  |                                                |           |
| ation** |                                                |           |
| *(Must  |                                                |           |
| be a    |                                                |           |
| BPA     |                                                |           |
| Federal |                                                |           |
| E       |                                                |           |
| mployee |                                                |           |
| or BPA  |                                                |           |
| Federal |                                                |           |
| Contr   |                                                |           |
| actor)* |                                                |           |
|         |                                                |           |
| \*All   |                                                |           |
| fields  |                                                |           |
| are     |                                                |           |
| self    |                                                |           |
| expl    |                                                |           |
| anatory |                                                |           |
| and are |                                                |           |
| re      |                                                |           |
| quired. |                                                |           |
+---------+------------------------------------------------+-----------+
| #       |                                                |           |
| BLOCK 1 |                                                |           |
| 0. Visi |                                                |           |
| t Infor |                                                |           |
| mation: |                                                |           |
|  All \* |                                                |           |
| require |                                                |           |
| d field |                                                |           |
| s must  |                                                |           |
| be comp |                                                |           |
| leted,  |                                                |           |
| or form |                                                |           |
|  cannot |                                                |           |
|  be pro |                                                |           |
| cessed. |                                                |           |
|         |                                                |           |
| \- For  |                                                |           |
| "SUB    |                                                |           |
| JECTS": |                                                |           |
| select  |                                                |           |
| all     |                                                |           |
| r       |                                                |           |
| elevant |                                                |           |
| s       |                                                |           |
| ubjects |                                                |           |
| from    |                                                |           |
| the     |                                                |           |
| drop    |                                                |           |
| down    |                                                |           |
| list    |                                                |           |
| p       |                                                |           |
| rovided |                                                |           |
|         |                                                |           |
| \- For  |                                                |           |
| \*[     |                                                |           |
| PURPOSE |                                                |           |
| OF THE  |                                                |           |
| VISIT   |                                                |           |
| ]{.unde |                                                |           |
| rline}: |                                                |           |
| Select  |                                                |           |
| one     |                                                |           |
| item    |                                                |           |
| from    |                                                |           |
| the     |                                                |           |
| drop    |                                                |           |
| down    |                                                |           |
| list    |                                                |           |
| p       |                                                |           |
| rovided |                                                |           |
+---------+------------------------------------------------+-----------+
| **[SUB  |                                                |           |
| MITTING |                                                |           |
| THE     |                                                |           |
| FOREIGN |                                                |           |
| N       |                                                |           |
| ATIONAL |                                                |           |
| REGIS   |                                                |           |
| TRATION |                                                |           |
| FORM    |                                                |           |
| AND     |                                                |           |
| OTHER   |                                                |           |
| MISCEL  |                                                |           |
| LANEOUS |                                                |           |
| ITEMS:] |                                                |           |
| {.under |                                                |           |
| line}** |                                                |           |
|         |                                                |           |
| -       |                                                |           |
|   AFTER |                                                |           |
|     COM |                                                |           |
| PLETION |                                                |           |
|     OF  |                                                |           |
|         |                                                |           |
|    THIS |                                                |           |
|         |                                                |           |
|   FORM, |                                                |           |
|     THE |                                                |           |
|         |                                                |           |
|    HOST |                                                |           |
|         |                                                |           |
|  SHOULD |                                                |           |
|         |                                                |           |
|  REVIEW |                                                |           |
|     FOR |                                                |           |
|     AC  |                                                |           |
| CURACY. |                                                |           |
|         |                                                |           |
| -   THE |                                                |           |
|         |                                                |           |
|    HOST |                                                |           |
|         |                                                |           |
|    WILL |                                                |           |
|         |                                                |           |
|  SUBMIT |                                                |           |
|     THE |                                                |           |
|         |                                                |           |
|    FORM |                                                |           |
|     TO  |                                                |           |
|     THE |                                                |           |
|     "   |                                                |           |
| FOREIGN |                                                |           |
|     NA  |                                                |           |
| TIONALS |                                                |           |
|         |                                                |           |
|  VISITS |                                                |           |
|     &   |                                                |           |
|         |                                                |           |
|   ASSIG |                                                |           |
| NMENTS" |                                                |           |
|         |                                                |           |
|  E-MAIL |                                                |           |
|         |                                                |           |
|  INBOX. |                                                |           |
|         |                                                |           |
| -   THE |                                                |           |
|         |                                                |           |
|    FORM |                                                |           |
|         |                                                |           |
|    WILL |                                                |           |
|         |                                                |           |
|    THEN |                                                |           |
|     BE  |                                                |           |
|     PR  |                                                |           |
| OCESSED |                                                |           |
|     BY  |                                                |           |
|     THE |                                                |           |
|         |                                                |           |
|    FV&A |                                                |           |
|         |                                                |           |
|  STAFF. |                                                |           |
|         |                                                |           |
| -   THE |                                                |           |
|     BPA |                                                |           |
|         |                                                |           |
|    HOST |                                                |           |
|         |                                                |           |
|    WILL |                                                |           |
|         |                                                |           |
| RECEIVE |                                                |           |
|     A   |                                                |           |
|         |                                                |           |
|   NOTIF |                                                |           |
| ICATION |                                                |           |
|         |                                                |           |
|    FROM |                                                |           |
|     THE |                                                |           |
|         |                                                |           |
|    FV&A |                                                |           |
|         |                                                |           |
|   STAFF |                                                |           |
|         |                                                |           |
|    ONCE |                                                |           |
|     THE |                                                |           |
|     FN  |                                                |           |
|         |                                                |           |
|   VISIT |                                                |           |
|     IS  |                                                |           |
|     AP  |                                                |           |
| PROVED. |                                                |           |
|         |                                                |           |
| -   THE |                                                |           |
|     BPA |                                                |           |
|         |                                                |           |
|    HOST |                                                |           |
|         |                                                |           |
|    WILL |                                                |           |
|         |                                                |           |
|    NEED |                                                |           |
|     TO  |                                                |           |
|         |                                                |           |
|  ENSURE |                                                |           |
|         |                                                |           |
|    THAT |                                                |           |
|     A   |                                                |           |
|     V   |                                                |           |
| ISITORS |                                                |           |
|         |                                                |           |
|  ACCESS |                                                |           |
|         |                                                |           |
|    FORM |                                                |           |
|     5   |                                                |           |
| 632.11E |                                                |           |
|     IS  |                                                |           |
|     SUB |                                                |           |
| MITTED. |                                                |           |
|         |                                                |           |
| -   THE |                                                |           |
|     BPA |                                                |           |
|         |                                                |           |
|    HOST |                                                |           |
|         |                                                |           |
|    WILL |                                                |           |
|         |                                                |           |
|    NEED |                                                |           |
|     TO  |                                                |           |
|     C   |                                                |           |
| OMPLETE |                                                |           |
|         |                                                |           |
|    HOST |                                                |           |
|     T   |                                                |           |
| RAINING |                                                |           |
|     IF  |                                                |           |
|     T   |                                                |           |
| RAINING |                                                |           |
|     HAS |                                                |           |
|     NOT |                                                |           |
|         |                                                |           |
| ALREADY |                                                |           |
|         |                                                |           |
|    BEEN |                                                |           |
|     CO  |                                                |           |
| MPLETED |                                                |           |
|         |                                                |           |
| (ANNUAL |                                                |           |
|     T   |                                                |           |
| RAINING |                                                |           |
|         |                                                |           |
|   REQUI |                                                |           |
| REMENT; |                                                |           |
|         |                                                |           |
|    WILL |                                                |           |
|     BE  |                                                |           |
|     P   |                                                |           |
| ROVIDED |                                                |           |
|     TO  |                                                |           |
|         |                                                |           |
|    HOST |                                                |           |
|     BY  |                                                |           |
|         |                                                |           |
|    FV&A |                                                |           |
|         |                                                |           |
| STAFF). |                                                |           |
|         |                                                |           |
| -   THE |                                                |           |
|     BPA |                                                |           |
|         |                                                |           |
|    HOST |                                                |           |
|         |                                                |           |
|   SHALL |                                                |           |
|         |                                                |           |
|  FOLLOW |                                                |           |
|         |                                                |           |
|   INSTR |                                                |           |
| UCTIONS |                                                |           |
|     AS  |                                                |           |
|         |                                                |           |
|   NOTED |                                                |           |
|     IN  |                                                |           |
|     THE |                                                |           |
|     S   |                                                |           |
| ECURITY |                                                |           |
|         |                                                |           |
|    PLAN |                                                |           |
|     FOR |                                                |           |
|     THE |                                                |           |
|     FN  |                                                |           |
|         |                                                |           |
|  VISIT. |                                                |           |
|         |                                                |           |
| -       |                                                |           |
| LASTLY, |                                                |           |
|     THE |                                                |           |
|     BPA |                                                |           |
|         |                                                |           |
|    HOST |                                                |           |
|         |                                                |           |
|    WILL |                                                |           |
|         |                                                |           |
|    NEED |                                                |           |
|     TO  |                                                |           |
|     OFF |                                                |           |
| ICIALLY |                                                |           |
|         |                                                |           |
|   CLOSE |                                                |           |
|     OUT |                                                |           |
|     THE |                                                |           |
|     FN  |                                                |           |
|         |                                                |           |
|   VISIT |                                                |           |
|     or  |                                                |           |
|     ASS |                                                |           |
| IGNMENT |                                                |           |
|         |                                                |           |
|    WHEN |                                                |           |
|     THE |                                                |           |
|     V   |                                                |           |
| IST/ASS |                                                |           |
| IGNMENT |                                                |           |
|     IS  |                                                |           |
|     C   |                                                |           |
| OMPLETE |                                                |           |
|     AND |                                                |           |
|     THE |                                                |           |
|     FN  |                                                |           |
|     IS  |                                                |           |
|     OFF |                                                |           |
|         |                                                |           |
|   SITE. |                                                |           |
|         |                                                |           |
|   CLOSE |                                                |           |
|     OUT |                                                |           |
|         |                                                |           |
|    INFO |                                                |           |
| RMATION |                                                |           |
|         |                                                |           |
|   SHALL |                                                |           |
|         |                                                |           |
| INCLUDE |                                                |           |
|     THE |                                                |           |
|     FO  |                                                |           |
| LLOWING |                                                |           |
|     AND |                                                |           |
|         |                                                |           |
|   SHALL |                                                |           |
|     BE  |                                                |           |
|         |                                                |           |
|    SENT |                                                |           |
|         |                                                |           |
| ELECTRO |                                                |           |
| NICALLY |                                                |           |
|     TO  |                                                |           |
|     THE |                                                |           |
|         |                                                |           |
| FOREIGN |                                                |           |
|     N   |                                                |           |
| ATIONAL |                                                |           |
|         |                                                |           |
|  VISITS |                                                |           |
|     AND |                                                |           |
|         |                                                |           |
|    ASSI |                                                |           |
| GNMENTS |                                                |           |
|         |                                                |           |
|  E-MAIL |                                                |           |
|         |                                                |           |
|  INBOX. |                                                |           |
|         |                                                |           |
| > 1\.   |                                                |           |
| > Name  |                                                |           |
| > of    |                                                |           |
| >       |                                                |           |
| Visitor |                                                |           |
| > 2.    |                                                |           |
| >       |                                                |           |
|  Actual |                                                |           |
| > Start |                                                |           |
| > Date  |                                                |           |
| > of    |                                                |           |
| > Visit |                                                |           |
| >       |                                                |           |
| > 3\.   |                                                |           |
| >       |                                                |           |
|  Actual |                                                |           |
| > End   |                                                |           |
| > Date  |                                                |           |
| > of    |                                                |           |
| > Visit |                                                |           |
| > 4.    |                                                |           |
| >       |                                                |           |
|  Status |                                                |           |
| > of    |                                                |           |
| > Ass   |                                                |           |
| ignment |                                                |           |
| > *     |                                                |           |
| ([State |                                                |           |
| > one   |                                                |           |
| > of    |                                                |           |
| > the   |                                                |           |
| > fo    |                                                |           |
| llowing |                                                |           |
| ]{.unde |                                                |           |
| rline}: |                                                |           |
| > Ca    |                                                |           |
| ncelled |                                                |           |
| > After |                                                |           |
| > Ap    |                                                |           |
| proved, |                                                |           |
| > N     |                                                |           |
| o-Show, |                                                |           |
| > or    |                                                |           |
| > Com   |                                                |           |
| plete)* |                                                |           |
+---------+------------------------------------------------+-----------+

<table style="width:100%;">
<colgroup>
<col style="width: 4%" />
<col style="width: 3%" />
<col style="width: 1%" />
<col style="width: 1%" />
<col style="width: 1%" />
<col style="width: 2%" />
<col style="width: 1%" />
<col style="width: 1%" />
<col style="width: 1%" />
<col style="width: 1%" />
<col style="width: 1%" />
<col style="width: 1%" />
<col style="width: 0%" />
<col style="width: 3%" />
<col style="width: 0%" />
<col style="width: 2%" />
<col style="width: 0%" />
<col style="width: 1%" />
<col style="width: 3%" />
<col style="width: 0%" />
<col style="width: 1%" />
<col style="width: 1%" />
<col style="width: 1%" />
<col style="width: 1%" />
<col style="width: 2%" />
<col style="width: 0%" />
<col style="width: 9%" />
<col style="width: 0%" />
<col style="width: 2%" />
<col style="width: 1%" />
<col style="width: 3%" />
<col style="width: 1%" />
<col style="width: 1%" />
<col style="width: 0%" />
<col style="width: 3%" />
<col style="width: 0%" />
<col style="width: 3%" />
<col style="width: 1%" />
<col style="width: 1%" />
<col style="width: 0%" />
<col style="width: 1%" />
<col style="width: 1%" />
<col style="width: 1%" />
<col style="width: 0%" />
<col style="width: 1%" />
<col style="width: 3%" />
<col style="width: 4%" />
<col style="width: 8%" />
<col style="width: 0%" />
</colgroup>
<tbody>
<tr class="odd">
<td colspan="6"><p><em>BPA F 5632.08e</em></p>
<p><em>(03-06)</em></p>
<p><em>(Page 2)</em></p></td>
<td colspan="40"><p><strong>U.S. DEPARTMENT OF ENERGY</strong></p>
<p><strong>BONNEVILLE POWER ADMINISTRATION</strong></p></td>
<td colspan="2"><em>Electronic Form Approved by Forms Mgmt.
–03/24/2006</em></td>
<td></td>
</tr>
<tr class="even">
<td colspan="48"><strong>UNCLASSIFIED VISITS AND ASSIGNMENTS - FOREIGN
NATIONALS REGISTRATION (SHORT FORM)</strong></td>
<td></td>
</tr>
<tr class="odd">
<td colspan="48">"In accordance with Department of Energy Order 142.3,
the BPA requires all foreign nationals (FN) to complete a foreign
national registration form to document the purpose and dates of their
intended visit. The BPA Host will assist the foreign national in
completing the form. The BPA Host is responsible for completing blocks
8, 9 and 10 prior to submitting the form for processing. Depending on
the country of citizenship and the nature of the visit, some forms can
take up to 45 days to process. Hosts are responsible for ensuring all
required fields are completed on the foreign national form. Completed
forms should be sent electronically to the "Foreign National Visits and
Assignments" e-mail in box. The Security Office will communicate to the
host the status of the approval of the FN form. No FN will be allowed on
a BPA site until their FN document has been approved. NOTE: Questions
pertaining to a "clearance" is asking if you/Host have a L [SECRET] or Q
[TOP SECRET] clearance."</td>
<td></td>
</tr>
<tr class="even">
<td colspan="48"><strong>1. Name of Visitor/Assignee</strong></td>
<td></td>
</tr>
<tr class="odd">
<td colspan="4">*First Name:</td>
<td colspan="17"><strong>     </strong></td>
<td colspan="4">*Middle:</td>
<td colspan="11"><strong>     </strong></td>
<td colspan="4">*Last:</td>
<td colspan="8"><strong>     </strong></td>
<td></td>
</tr>
<tr class="even">
<td colspan="48"><strong>2. Form Determination Information</strong></td>
<td></td>
</tr>
<tr class="odd">
<td colspan="7">*Facility to be visited:</td>
<td colspan="20"><strong>     </strong></td>
<td colspan="13">Is this an off-site meeting?</td>
<td colspan="4"></td>
<td colspan="2">Yes</td>
<td></td>
<td>No</td>
<td></td>
</tr>
<tr class="even">
<td colspan="48">*Select the Security Area Type at the Facility
<em>(choose highest area type in case multiple areas are to be
visited)</em>:</td>
<td></td>
</tr>
<tr class="odd">
<td></td>
<td colspan="16"><strong>Non-Security Area</strong> <em>(areas where
visitor access is controlled because it is a federal facility. The area
in question would not contain classified or nuclear material. Also
applies to official meetings conducted off-site.)</em></td>
<td colspan="2"></td>
<td colspan="14"><p><strong>Property Protection Area</strong> <em>(an
area</em></p>
<p><em>where government owned property is housed and needs to be
protected against damage, destruction, &amp; theft.)</em></p></td>
<td colspan="3"></td>
<td colspan="12"><p><strong>Exclusion Area</strong> <em>(security areas
where F.N.’s</em></p>
<p><em>mere presence may result in access to highly sensitive matter, or
where additional layers of security are present to protect a higher
level asset. Examples: trading floor, regional HQ locations, JTS Rooms,
Control Centers.)</em></p></td>
<td></td>
</tr>
<tr class="even">
<td colspan="7">*Country of Employer:</td>
<td colspan="22"><strong>     </strong></td>
<td colspan="19"></td>
<td></td>
</tr>
<tr class="odd">
<td colspan="15">*Will sensitive subjects be discussed?</td>
<td colspan="3"></td>
<td colspan="3">Yes</td>
<td colspan="2"></td>
<td colspan="3">No</td>
<td colspan="22"><em>(Refer to BPA’s Critical and Sensitive Information
List for subjects)</em></td>
<td></td>
</tr>
<tr class="even">
<td colspan="15">*Is this an IAP-66 (DS2019) assignment?</td>
<td colspan="3"></td>
<td colspan="3">Yes</td>
<td colspan="2"></td>
<td colspan="3">No</td>
<td colspan="22">*IAP-66 <em>(supports the Visitor Exchange Program
which provides foreign nationals with the opportunity to participate in
educational and cultural programs in the U.S.)</em></td>
<td></td>
</tr>
<tr class="odd">
<td colspan="15">*Does the Host have a clearance?</td>
<td colspan="3"></td>
<td colspan="3">Yes</td>
<td colspan="2"></td>
<td colspan="3">No</td>
<td colspan="22"></td>
<td></td>
</tr>
<tr class="even">
<td colspan="10">*Type of Request <em>(check one):</em></td>
<td colspan="3"></td>
<td colspan="11">Visit <em>(less than 30 days)</em></td>
<td colspan="2"></td>
<td colspan="13">Assignment <em>(30 consecutive days or more)</em></td>
<td colspan="3"></td>
<td colspan="7">Extension of an Assignment</td>
</tr>
<tr class="odd">
<td colspan="49"><strong>3. Biographical Information</strong></td>
</tr>
<tr class="even">
<td colspan="2">*Gender</td>
<td colspan="3"></td>
<td colspan="4">Female</td>
<td colspan="2"></td>
<td colspan="11">Male</td>
<td colspan="8">*Is Visitor currently in U.S.?</td>
<td colspan="2"></td>
<td colspan="3">Yes</td>
<td colspan="2"></td>
<td colspan="12">No</td>
</tr>
<tr class="odd">
<td colspan="9">*Permanent Resident Alien:</td>
<td colspan="2"></td>
<td colspan="3">Yes</td>
<td colspan="2"></td>
<td colspan="4">No</td>
<td colspan="11">Green Card exp. date <em>(mm/dd/yyyy)</em>:</td>
<td colspan="7"><strong>     </strong></td>
<td colspan="5">S.S.#</td>
<td colspan="6"><strong>     </strong></td>
</tr>
<tr class="even">
<td colspan="8">*Country of Citizenship:</td>
<td colspan="20"><strong>     </strong></td>
<td colspan="13">*Date of Birth <em>(mm/dd/yyyy)</em>:</td>
<td colspan="8"><strong>     </strong></td>
</tr>
<tr class="odd">
<td colspan="8">*Country of Birth:</td>
<td colspan="20"><strong>     </strong></td>
<td colspan="7">*City of Birth:</td>
<td colspan="14"><strong>     </strong></td>
</tr>
<tr class="even">
<td colspan="8">*Aliases:</td>
<td colspan="20"><strong>     </strong></td>
<td colspan="7"></td>
<td colspan="14"></td>
</tr>
<tr class="odd">
<td colspan="49"><strong>4. Employer Information</strong></td>
</tr>
<tr class="even">
<td colspan="49">Affiliation or Company Info:</td>
</tr>
<tr class="odd">
<td colspan="12">*Institution or Company Name:</td>
<td colspan="22"><strong>     </strong></td>
<td colspan="11">Phone Number:</td>
<td colspan="4"><strong>     </strong></td>
</tr>
<tr class="even">
<td colspan="3">Street (1):</td>
<td colspan="31"><strong>     </strong></td>
<td colspan="11">Fax Number:</td>
<td colspan="4"><strong>     </strong></td>
</tr>
<tr class="odd">
<td colspan="3">Street (2):</td>
<td colspan="31"><strong>     </strong></td>
<td colspan="11">Email Address:</td>
<td colspan="4"><strong>     </strong></td>
</tr>
<tr class="even">
<td colspan="3">City:</td>
<td colspan="31"><strong>     </strong></td>
<td colspan="11">State:</td>
<td colspan="4"><strong>     </strong></td>
</tr>
<tr class="odd">
<td colspan="3">Zip Code:</td>
<td colspan="31"><strong>     </strong></td>
<td colspan="11">*Country of Employer:</td>
<td colspan="4"><strong>     </strong></td>
</tr>
<tr class="even">
<td colspan="9">*Title or Position and Duties:</td>
<td colspan="40"><strong>     </strong></td>
</tr>
<tr class="odd">
<td colspan="49">* <strong>Visa or</strong> <strong>Passport information
must be completed</strong></td>
</tr>
</tbody>
</table>

+----------------------------------+-----------------------------------+
| **5. Visa Information**         | **6. Passport Information**      |
|                                  |                                   |
| ***(For Visa Type see link below |                                   |
| where you can copy/paste         |                                   |
| appropriate Visa type into       |                                   |
| form.)***                        |                                   |
|                                  |                                   |
| [[http://w                       |                                   |
| ww.bpa.gov/corporate/Business/Gu |                                   |
| ide/]{.underline}](http://www.bp |                                   |
| a.gov/corporate/Business/Guide/) |                                   |
+----------------------------------+-----------------------------------+

  ----------------- ----------- ----------- -- ----------- ----------- ----------- ---------------- --- ----- ----------- -- ----------------- ----------- ----------- -------- ----------- ----------- ----------- ----------- ------------------
  Visa Number:                  **     **                                                                                    Passport Number:                                   **     **                                       

  Visa Type:        **     **                                                                                                Country of Issue:                                  **     **                                       

  Exp. Date                                    **     **                                                                     Exp. Date                                                                  **     **               
  *(mm/dd/yyyy)*:                                                                                                            *(mm/dd/yyyy)*:                                                                                    

  **7. Place of                                                                                                                                                                                                                 
  Work *(if                                                                                                                                                                                                                     
  different from                                                                                                                                                                                                                
  Employer)***                                                                                                                                                                                                                  

  \*Company Name:               **     **                                                                                                      \*Phone                                      **     **                           
                                                                                                                                               Number:                                                                          

  \*Street (1):                 **     **                                                                                                      Fax Number:                                  **     **                           

  Street (2):                   **     **                                                                                                      Email                                        **     **                           
                                                                                                                                               Address:                                                                         

  \*City:                       **     **                                                                                                      \*State:                                     **     **                           

  \*Zip Code:                   **     **                                                                                                      \*Country                                    **     **                           
                                                                                                                                               of                                                                               
                                                                                                                                               Employer:                                                                        

  \*Title or                                                           **     **                                                                                                                                                
  Position and                                                                                                                                                                                                                  
  Duties:                                                                                                                                                                                                                       

  Interpreter                                              Yes                                          No    Business                                                                                  **     **               
  Needed?                                                                                                     Type                                                                                                              
                                                                                                              conducted                                                                                                         
                                                                                                              by                                                                                                                
                                                                                                              Employer:                                                                                                         

  Educational                                              **     **                                                                                       Field of                                                             **     **
  Background:                                                                                                                                              Research:                                                            

  Accompanying                                                                     **     **                                                                                                                                    
  Family                                                                                                                                                                                                                        
  Information:                                                                                                                                                                                                                  

                                                                                   **     **                                                                                                                                    

  Additional                                                                       ***(If known, FN                                                                                                                             
  Biographical                                                                     will complete                                                                                                                                
  Information:                                                                     this section                                                                                                                                 
                                                                                   completely)***                                                                                                                               

  *Current U.S.                                                                                                                                                        City:                                        **     **   
  Address:*                                                                                                                                                                                                                     

  Street (1):                                                                      **     **                                                                           State:                                       **     **   

  Street (2):                                                                      **     **                                                                           Zip                                          **     **   
                                                                                                                                                                       Code:                                                    

  *Permanent                                                                       **     **                                                                           City:                                        **     **   
  Address:*                                                                                                                                                                                                                     

  Street (1):                                                                      **     **                                                                           State:                                       **     **   

  Street (2):                                                                      **     **                                                                           Zip                                          **     **   
                                                                                                                                                                       Code:                                                    
  ----------------- ----------- ----------- -- ----------- ----------- ----------- ---------------- --- ----- ----------- -- ----------------- ----------- ----------- -------- ----------- ----------- ----------- ----------- ------------------

<table>
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</colgroup>
<tbody>
<tr class="odd">
<td colspan="6"><p><em>BPA F 5632.08e</em></p>
<p><em>(03-06)</em></p>
<p><em>(Page 3)</em></p></td>
<td colspan="50"><p><strong>UNCLASSIFIED VISITS AND
ASSIGNMENTS</strong></p>
<p><strong>FOREIGN NATIONALS REGISTRATION (SHORT FORM)</strong></p></td>
<td colspan="9"><em>Electronic Form Approved by Forms Mgmt.
–03/24/2006</em></td>
</tr>
<tr class="even">
<td colspan="64"><strong>8. Visit/Assignment Specific
Information</strong></td>
<td></td>
</tr>
<tr class="odd">
<td colspan="3">*Off Site meeting?</td>
<td colspan="4"></td>
<td colspan="2">Yes</td>
<td colspan="4"></td>
<td colspan="4">No</td>
<td colspan="36">*Will sensitive subjects be discussed?</td>
<td colspan="4"></td>
<td colspan="4">Yes</td>
<td></td>
<td colspan="2">No</td>
<td></td>
</tr>
<tr class="even">
<td colspan="64"><strong>9. Host Information</strong></td>
<td></td>
</tr>
<tr class="odd">
<td colspan="5">*Host’s First Name:</td>
<td colspan="20"><strong>     </strong></td>
<td colspan="9">Middle:</td>
<td colspan="14"><strong>     </strong></td>
<td colspan="7">*Last:</td>
<td colspan="9"><strong>     </strong></td>
<td></td>
</tr>
<tr class="even">
<td colspan="5">*Host’s Citizenship:</td>
<td colspan="20"><strong>     </strong></td>
<td colspan="9">*Phone:</td>
<td colspan="14"><strong>     </strong></td>
<td colspan="7"></td>
<td colspan="9"></td>
<td></td>
</tr>
<tr class="odd">
<td colspan="14">*Does the host have a clearance? <em>(L or Q)</em></td>
<td colspan="2"></td>
<td colspan="7">Yes</td>
<td colspan="6"></td>
<td colspan="35">No</td>
<td></td>
</tr>
<tr class="even">
<td colspan="64"><strong>10. Visit Information</strong></td>
<td></td>
</tr>
<tr class="odd">
<td colspan="10">*Desired Start Date <em>(mm/dd/yyyy):</em></td>
<td colspan="29"><strong>     </strong></td>
<td colspan="16">*Desired End Date <em>(mm/dd/yyyy):</em></td>
<td colspan="9"><strong>     </strong></td>
<td></td>
</tr>
<tr class="even">
<td colspan="64">*Subject(s): <em>(Choose from the drop-down
menus)</em></td>
<td></td>
</tr>
<tr class="odd">
<td colspan="18"></td>
<td colspan="4"></td>
<td colspan="24"></td>
<td colspan="3"></td>
<td colspan="15"></td>
<td></td>
</tr>
<tr class="even">
<td colspan="8">International Agreement Code:</td>
<td colspan="56"><strong>     </strong></td>
<td></td>
</tr>
<tr class="odd">
<td colspan="64">*Justification of Visit/Assignment, including specific
activities or involvement:</td>
<td></td>
</tr>
<tr class="even">
<td colspan="64"><strong>     </strong></td>
<td></td>
</tr>
<tr class="odd">
<td colspan="21">*Purpose of visit: <em>(Choose from the drop-down
menu)</em></td>
<td colspan="43"></td>
<td></td>
</tr>
<tr class="even">
<td colspan="29">Is the assignment for intermittent access periods?
<em>(Example: 2 days one week, 3 days the next week, 1 day on
3<sup>rd</sup> week=6 days)</em></td>
<td colspan="7"></td>
<td colspan="2">Yes</td>
<td colspan="2"></td>
<td colspan="2">No</td>
<td colspan="16">Number of Days On site:</td>
<td colspan="6"><strong>     </strong></td>
<td></td>
</tr>
<tr class="odd">
<td colspan="45">Will there be interactions with individuals with
Security Clearances? <em>(L/Secret or Q/Top Secret clearances)</em></td>
<td colspan="7"></td>
<td colspan="7">Yes</td>
<td></td>
<td colspan="4">No</td>
<td></td>
</tr>
<tr class="even">
<td colspan="64"><em>List individuals:</em></td>
<td></td>
</tr>
<tr class="odd">
<td>First Name:</td>
<td colspan="18"><strong>     </strong></td>
<td colspan="11">Middle:</td>
<td colspan="13"><strong>     </strong></td>
<td colspan="7">Last:</td>
<td colspan="13"><strong>     </strong></td>
<td colspan="2"></td>
</tr>
<tr class="even">
<td>First Name:</td>
<td colspan="18"><strong>     </strong></td>
<td colspan="11">Middle:</td>
<td colspan="13"><strong>     </strong></td>
<td colspan="7">Last:</td>
<td colspan="13"><strong>     </strong></td>
<td colspan="2"></td>
</tr>
<tr class="odd">
<td colspan="8">Is this Visit for Employment?</td>
<td colspan="3"></td>
<td colspan="4">Yes</td>
<td colspan="8"></td>
<td colspan="40">No</td>
<td colspan="2"></td>
</tr>
<tr class="even">
<td colspan="63">*List Buildings and Rooms to be accessed:</td>
<td colspan="2"></td>
</tr>
<tr class="odd">
<td>Building:</td>
<td colspan="18"><strong>     </strong></td>
<td colspan="9">Room:</td>
<td colspan="16"><strong>     </strong></td>
<td colspan="7">Type:</td>
<td colspan="12"><strong>     </strong></td>
<td colspan="2"></td>
</tr>
<tr class="even">
<td>Building:</td>
<td colspan="18"><strong>     </strong></td>
<td colspan="9">Room:</td>
<td colspan="16"><strong>     </strong></td>
<td colspan="7">Type:</td>
<td colspan="12"><strong>     </strong></td>
<td colspan="2"></td>
</tr>
<tr class="odd">
<td>Building:</td>
<td colspan="18"><strong>     </strong></td>
<td colspan="9">Room:</td>
<td colspan="16"><strong>     </strong></td>
<td colspan="7">Type:</td>
<td colspan="12"><strong>     </strong></td>
<td colspan="2"></td>
</tr>
<tr class="even">
<td colspan="4">*Cost to DOE/BPA:</td>
<td colspan="59"><strong>     </strong></td>
<td colspan="2"></td>
</tr>
<tr class="odd">
<td colspan="31">*DOE/BPA Mission(s) that will be advanced by this
Visit/Assignment:</td>
<td colspan="32"></td>
<td colspan="2"></td>
</tr>
<tr class="even">
<td colspan="63"><strong>     </strong></td>
<td colspan="2"></td>
</tr>
<tr class="odd">
<td colspan="63">*Anticipated benefits to DOE/BPA Programs:</td>
<td colspan="2"></td>
</tr>
<tr class="even">
<td colspan="63"><strong>     </strong></td>
<td colspan="2"></td>
</tr>
<tr class="odd">
<td colspan="63">*DOE/BPA Contact’s <em>(Must be a Federal
Employee)</em></td>
<td colspan="2"></td>
</tr>
<tr class="even">
<td colspan="2">First Name:</td>
<td colspan="22"><strong>     </strong></td>
<td colspan="9">Middle:</td>
<td colspan="14"><strong>     </strong></td>
<td colspan="7">*Last:</td>
<td colspan="9"><strong>     </strong></td>
<td colspan="2"></td>
</tr>
<tr class="odd">
<td colspan="12">*DOE/BPA Contact’s Phone Number</td>
<td colspan="51"><strong>     </strong></td>
<td colspan="2"></td>
</tr>
<tr class="even">
<td colspan="20">*Will Visitor/Assignee be granted computer access?</td>
<td colspan="6"></td>
<td colspan="9">Yes</td>
<td colspan="2"></td>
<td colspan="26">No</td>
<td colspan="2"></td>
</tr>
<tr class="odd">
<td colspan="27">If granted computer access, is the access on-site or
off-site?</td>
<td colspan="5"></td>
<td colspan="6">On</td>
<td colspan="3"></td>
<td colspan="22">Off</td>
<td colspan="2"></td>
</tr>
<tr class="even">
<td colspan="63">List hardware and software to which access is
granted:</td>
<td colspan="2"></td>
</tr>
<tr class="odd">
<td colspan="63"><strong>     </strong></td>
<td colspan="2"></td>
</tr>
<tr class="even">
<td colspan="63"><strong>11. Remarks/Comments</strong> <em><strong>(or
additional information that did not fit above)</strong></em></td>
<td colspan="2"></td>
</tr>
<tr class="odd">
<td colspan="63"><strong>     </strong></td>
<td colspan="2"></td>
</tr>
<tr class="even">
<td colspan="63"><p><em><strong>*Denotes Required
Information</strong></em></p>
<p><em><strong> Visa OR Passport Required</strong></em></p>
<p><strong>Please e-mail this form <em>(as an attachment)</em> and
supporting documentation to:</strong></p>
<p><em><strong>Foreign Nationals Visits and
Assignments</strong></em></p>
<p><em><strong>(BPA must receive this completed form at least 30 days
prior to the scheduled visit).</strong></em></p></td>
<td colspan="2"></td>
</tr>
</tbody>
</table>