HMS SULTAN - NON MOD STAFF PASS HOLDERS. Introduction. Aim. Process and Renewal. Responsibilities of the Sponsor. XTM 25/17 17 May 17

Similar documents
Research Passport Application Form Version 3 01/09/2012

NHS RESEARCH PASSPORT POLICY AND PROCEDURE

RECRUITMENT AND VETTING CHECKS POLICY

CHAPTER 82 WARFARE BRANCH PHYSICAL TRAINING CONTENTS

DEPARTMENT OF TRANSPORT, TOURISM AND SPORT APPLICATION FOR A CERTIFICATE OF PROFICIENCY (OIL/CHEMICAL/LIQUEFIED GAS TANKER)

Application for Renewal of Manager s Certificate Section 224, Sale and Supply of Alcohol Act 2012

ONE ID Local Registration Authority Procedures Manual. Version: 3.3

Version Don t place any stamps or stickers on the form, (e.g. those featuring Registered body details).

Access to Health Records under the Data Protection Act 1998 (As set out by the Department of Health)

2019 Application for Enrolment Information

Dear Colleague. Performers List National Application Arrangements. Summary

RD SOP12 Research Passport Honorary Contracts / Letters of Access

Clause 2. This Rule shall come into force from the date of its announcement.

Substantive Registration

Form. No. RPPL.F.054. Page No. 1 of 6 Issue Date: 18/07/2011

SOUTH AFRICAN NURSING COUNCIL

Enrolment Form. Other (please specify) Yes. Yes. Do you speak a language other than English at home? (If Yes, please specify)

APPLICATION FOR A YACHT RATING CERTIFICATE FOR Ratings on Commercially and Privately Owned Yachts and Sail Training Vessels of Less Than 3000gt

Instructions Please Follow Carefully! Affidavit & Release Form and Certification of Identification Form

SUPPLEMENTAL INFORMATION REGARDING NATIONAL COURSES 2017

RESTORATION FORM POST 1 JULY

Application for Volunteer Work

How to Apply for your Health Records

Mount Pleasant School Supporting Children with Medical Conditions

CHAPTER 45 MARITIME RESERVES UNIFORM REGULATIONS CONTENTS

Application to Access Health Records (DPA1)

APPLICATION FOR AIRPORT RESTRICTED AREA PASS ALL INFORMATION TO BE ENTERED IN BLOCK CAPITALS

CHAPTER 83 WARFARE BRANCH COXSWAIN (SUBMARINE) CONTENTS

GRANT APPLICATION FORM FINANCIAL ASSISTANCE FOR INDIVIDUALS

THE RULES OF THE UNION JACK CLUB (Adopted on 10 th May 2011 and revised 08 th May 2018)

See Distribution 6 Mar 08

THE ROYAL SIGNALS AMATEUR RADIO SOCIETY SOCIETY RULES. REVISED & RE-ISSUED January 2017

Frequently Asked Questions (FAQ) NWT Health Care Card Renewal November 2015

Long Term Plan Service Plan for Civil Defence & Emergency Management. As at February 2018

CHC30113 Certificate III in Early Childhood Education and Care

SO2 Cadets (Plans & CCF) Headquarters Land Forces Ramillies Building, 2 nd Floor, Zone 3, IDL 429 Monxton Road ANDOVER Hampshire SP11 8HJ

IRISH AID IRISH AID IDEAS PROGRAMME: STRAND II

RELATIVE/NEIGHBOR PROVIDER

AIR TRAINING CORPS PARAGLIDING COURSES 2010/11

2019 SPORT SCHOLARSHIP APPLICATION FORM

FOOD SAFETY SUPERVISORS COURSE

APPLICATION FORM FOR FUNDING ARTS ORGANISATION: 1 st April 2016 to 31 st March 2017

External Bursary Application Form 2017

AIR TRAINING CORPS NORDIC SKI EXERCISE NORDIC ADVENTURE 2011

Accessing Your Medical Records at Lonsdale Medical Centre

DEMOCRATIC NURSING ORGANISATION OF SOUTH AFRICA (DENOSA)

Thank you for your interest in Tropic Ocean Airways.

APPLICATION FOR A CAYMAN ISLANDS SEAMAN S DISCHARGE BOOK

Form 18. APPLICATION FOR RESTORATION OF NAME TO THE REGISTER IN TERMS OF SECTION 19(5) OF THE HEALTH PROFESSIONS ACT, 1974 (ACT No.

Registration of Health and Social Care Professions

23 rd World Scout Jamboree Adult Application

Implementation Regulations of Import Boiler und Pressure Vessel Safety Quality Licensing System

SC Uniform Managed Care Provider Credentialing Application

APPLICATION FOR ACCESS TO HEALTH RECORDS. Data Protection Act 2018 and other relevant legislation

CERTIFICATE IN PEER SUPPORT Application Form

KILBRAUR WINDFARM COMMUNITY BENEFIT TRUST FUND (Scottish Charity No SC040268)

Social Work Bursary: Academic Year 2017/18 (For courses starting January 2018 to March 2018) Application notes for students on undergraduate courses

APPLICATION FOR ASSESSMENT AS A MEDICAL PHYSICIST FOR MIGRATION PURPOSES

Changing Employers in the LCP OR Extending a Work Permit beyond Four Years in the LCP

LICENSING APPLICATION FOR IMPORT/EXPORT AND TRANSIT OF ENERGY

REGULATIONS FOR BERMUDA GOVERNMENT SCHOLARSHIP 2013/14

DERBY TEACHING HOSPITALS NHS FOUNDATION TRUST

NHS Continuing Healthcare Consent Form

ACTIVE BUSINESS IMPROVEMENT AREAS COMMERCIAL PROPERTY IMPROVEMENT GRANT PROGRAM APPLICANT INFORMATION

United States Naval Sea Cadet Corps Liberty Bell Squadron Liberty Central Region

EDUCATIONAL VISITS POLICY

Kick Start funding application

Trinidad and Tobago Target Archery Federation. Framework for the Development and Conduct of Archery in Trinidad and Tobago

CHAPTER 94 GUN SALUTES. (MOD Sponsor: NAVY PERS-EXEC FXO)

You must make an application for a Social Work Bursary regardless of whether or not you have been allocated a capped (bursary-funded) place.

CB1. Please complete your name in the following boxes before completing the rest of this form.

Family doctor services registration Postcode:... To be completed by your doctor

Safer Recruitment Policy

Enrolment Form - Domestic

Applicant Discuss your event with the Council. Applicant Lodge all the required applications with the Council. DLC

YMCA Before and After School Care School Year YMCA OF PIERCE AND KITSAP COUNTIES

Northern Ireland Social Care Council. NISCC (Registration) Rules 2017

Educational Visit Policy

GUIDANCE NOTE 03/2017 (Rev 1.0) APPLICATION FORMS FOR CAYMAN ISLANDS ENDORSEMENTS AND SEAMAN S DISCHARGE BOOKS

CFAO RANGE SAFETY OFFICERS

RESUSCITATION/DO NOT ATTEMPT RESUSCITATION (DNAR) POLICY

COMPEER PROGRAM VOLUNTEER APPLICATION

Diploma in Enrolled Nursing Application Checklist

Registering as a dental care professional with the General Dental Council

PART A. In order to achieve its objectives, this Code embodies a number of functional requirements. These include, but are not limited to:

HR Services. Management of Health and Safety at Work Regulations (MHSW) 1999

Membership Guidelines and Application Form

Overseas Pharmacists Assessment Programme (OSPAP)

91397 Barrington Training Services Pty Ltd. Please complete all sections of this form and return to Barrington Training Services.

EXTENDING YOUR UK VISA WHAT YOU NEED TO KNOW. kaplanpathways.com/other-uk-universities Search KaplanPathways

Visits. Your legal rights

Veteran Support Scheme Two

Home Energy Saving (HES) scheme - Homeowner Application Form Version 10.0

Dunia. Young Leaders Scholarship Program. Application Form. Empowering people, Enabling success, Enriching lives

Food Handlers Program

CHCPRT001 Identify and respond to children and young people at risk

Section 19 Mental Health Act 1983 Regulations as to the transfer of patients

91397 Barrington Training Services Pty Ltd. Please complete all sections of this form and return to Barrington Training Services.

BRIDGE MEDICAL CENTRE NEW PATIENT REGISTRATION FORM-ADULT

Chinese Government Scholarship Program Application Procedures

Transcription:

XTM 25/17 17 May 17 Sponsor: Lt L Evans, OIC RNP & EsyO, Ext 2230. HMS SULTAN - NON MOD STAFF PASS HOLDERS References: A. JSP 440 - The Defence Security, Resilience and Business Continuity. B. HMS SULTAN XTM 04/17 - Encroachments. Introduction 1. Reference A states that Heads of Establishments may authorise the issue of permanent site passes to regular visitors on the grounds of a business requirement. Reference B outlines the approved temporary use of HMS SULTAN s land and buildings by authorised personnel. Civilian users of these facilities and other personnel that require regular access to HMS SULTAN, such as honorary mess members are permitted (subject to approval) a permanent pass 1 to enter HMS SULTAN unescorted, in order to access these facilities. Requests for a permanent site pass will be considered on a case-by-case basis. Aim 2. The aim of this XTM is to set out the formal application process for authorised civilians to apply for permanent 1 unescorted pass to HMS SULTAN. Process and Renewal 3. Applicants for a permanent pass must have a genuine requirement to access HMS SULTAN facilities. It is a requirement for each application to have an approved sponsor(s); a list of approved sponsors is at Annex A. All applicants must complete the application (Enclosure 1) in full. Once complete, the applicant must take the application form to HQ1, together with the Identification documents listed, in order for a pass to be issued. This process must be repeated every 12 months. Responsibilities of the Sponsor 4. The sponsor(s) has a duty to satisfy themselves that the applicant has a legitimate requirement to access HMS SULTAN facilities on a regular basis 2. Where there are two sponsors listed at Annex A, both sponsor must complete the Application Form (Enclosure 1). Sponsors must notify the ESyO on handover to an alternative sponsor. 1 To be renewed every 12 months. 2 Requires access a minimum of once in any 90 day period and 12 times in any 12 month period. -1-

Condition of Issue 5. Pass holders must comply with the following conditions; a. The use of the pass to access HMS SULTAN must only be used for approved activities, i.e. access to clubs, messes, events etc. b. The pass holder has a personal responsibility to ensure that their pass remains in date. c. Pass holders are not permitted to bring with them unauthorised guests or allow any other person to use their pass. d. Pass holders are not permitted to access buildings or areas within HMS SULTAN where there is no genuine requirement for them to access. e. The pass holder undertakes to participate fully in all emergency drills and exercises, which may occur whilst within an establishment. f. A pass holder will, upon request by any authorised member of the Security Staff, produce his/her Pass for inspection. Out of date passes will be removed and the pass holder will be escorted from the establishment. g. The holder undertakes to act under the direction of authorised personnel at any time, especially during an emergency, alert or drill. h. The holder understands that at certain times, such as an increased security state, access to HMS SULTAN may be temporarily withdrawn. i. The holder will observe all establishment rules and regulations that apply whilst the holder is within the establishment. j. Pass holders understand that the Establishment Security Officer (ESyO) may suspend or permanently remove their pass for any breach of Health & Safety, Security or Regulations. 6. The individual signature on the Pass application form (Enclosure 1) certifies agreement with all terms and conditions detailed in this XTM. Lost Passes 7. In the event of a lost pass, HMS SULTAN Security section is to be informed immediately on (Mil) 93843 2398, or (BT) 02392 542398. A new application form must be completed for a replacement to be issued. A replacement pass will not be issued until 14 days after the initial lost pass report. Any subsequent losses will not be replaced. Review 8. Review this XTM 17 May 18. (Signed on Original) M I Hamilton Commander RN Executive Officer -2-

Annex: A. List of approved sponsors. Enclosure: 1. HMS SULTAN permanent pass application. Distribution: Full Copy to: NAVY TRG HQ-ACOST HQ COS* NAVY OP TRG-MWS TS SO2TE* NAVY ICP-TRANSITION 5 SO1* NAVY PERS-TEMERAIRE RNSO6* NAVY 1710NAS-REPAIR TM33* Adventurousbeginnings@virgin.net* NAVY MR-HQ AO* -3-

Annex A to XTM 25/17 Dated 17 May 17 LIST OF APPROVED SPONSORS Club / Association Location 1 st Approved Sponsor 2 nd Approved Sponsor Wargames Club Fort Rowner Lt M Griffiths DSMarE-M3 DTS AUX Ext: 2302 Car Club Fort Grange CPO M Weston DSMarE-M3 HYD3 Ext: 2075 Steam Waggon Building 20 CPO M Foreman DSMarE-MEHUNT Ext: 2391 Or Lt S Moss DSMarE-MESM NNPPI Ext: 2605 Lo-cost Racing Buildings 15 & 115 Lt M Griffiths DSMarE-M3 DTS AUX Ext: 2302 PERNSAC / Sub Aqua Fort Grange Cdr M Scott, Whale Island NAVY TRG HQ-ACOST HQ COS Tel: 02392 625702 RN South Coast Archers Dolphin Hangar & Polo Fileds Lt Cdr R Driscoll, HMS COLLINGWOOD, NAVY OP TRG-MWS TS SO2TE Tel: 02392 332158 Wives Club Sembawang 138 Lt B Dewis DSMarE-M2 DTS CD Ext: 2038 Small Calibre Rifle Association Fort Grange PO R Brown DSAE-RNAESS MAT 764 PO EXAM 4 Ext: 6292 Live Music Club Fort Rowner Lt T Whittaker DSMarE-RTG TOME Ext: 2338 Sports Bar Fort Grange SLt J Cuddeford DSMarE-TM3 Ext: 2479 Or PO(AET) Callaghan DSAE- RNAESS MAT 764EXAMSR Ext: 2309 The Provincial Society Whittle Hangar Car Park Lt B M Dewis DSMarE-M2 DTS CD Ext: 2038 -A1-

Club / Association Location 1st Approved Sponsor 2nd Approved Sponsor Course Angling Club Fort Rowner Moat Cdr S Mardlin, Whale Island NAVY ICP-TRANSITION 5 SO1 Tel: 02392 625747 RN Winter Sports Association Fort Grange Ms D Vout RNS06, HMS Temeraire NAVY PERS-TEMERAIRE RNSO6 Tel: 02392 537069 Bee-keeper association Outdoor Range Building 3 PO(AWT) K Stockton SUL-EXEC-PO Ext: 2415 Model Flying Club Dolphin Hangar WO2 J Stephen DSMarE-RTG DOETICC1 Ext: 6165 Forces Families Sembawang 138 Lt Cdr Wood SUL-First Lt Ext: 6207 Merritime Nursery Fort Rowner Mrs V Cameron Adventurousbeginnings @virgin.net Ext: 2229 Motorcycle Club Fort Grange PO A Myhill NAVY 1710NAS-REPAIR TM33 Tel: 02392722691 Theatre Club Building 46/26/140 W18 Lt Cdr Taylor SUL-LSO Ext: 6188 Or CPO House DSMarE-MELETICC2 Ext: 2514 Kayak Club Fort Grange Lt Cdr Wood SUL-First Lt Ext: 6207 Windsurfing Club Fort Grange WO2 D Strudwick, Whale Island NAVY MR-HQ AO Tel: 02392 623522 Spouse or Partner of applicant (Armed Forces or HMS SULTAN employee)3 Smith Family Whittle Hangar Offices & Car park Lt Cdr Wood SUL-First Lt Ext: 6207 Fort Rowner Restoration Club Fort Rowner Keep WO2 L Britton DSMarE-MESM NA2 NNPP Ext: 2452 3 Where this is not possible, the 1 st Approved Sponsor should seek advice from the Establishment Security Officer (SUL-RNP-OIC). -A2-

Club / Association Location 1st Approved Sponsor 2nd Approved Sponsor Gosport Sea Cadets Various CPO K Dallimore DSMarE-M1 TX1 Ext: 2526 Karting Club PO A Myhill NAVY 1710NAS-REPAIR TM33 Tel: 02392722691 Wardroom Wardroom Penny Burn 4 Mess Manager SUL-WRMM Ext: 2193 WO, SRs & SNCOs Mess WO&SR Mess David Turtle 5 Mess Manager SUL-SRMM Ext: 2500 4 On agreement of Wardroom committee only. 5 On agreement of WO&SR mess committee only. -A3-

Enclosure 1 to XTM 25/17 Dated 17 May 17 HMS SULTAN PERMANENT PASS APPLICATION Applicants are required to complete Sections 1 to 3 and take this application in person to HQ1 HMS SULTAN, together with acceptable ID document (see section 2). SECTION 1 Applicants Details Surname:... Forename:... Mr/Mrs/Title:... Home Address:... Tel No: (... )... E-mail:. Mobile No:.. Children s Details: Name:... D.O.B:... Age:... Name:... D.O.B:... Age:... Reason for access pass application (Clubs / Association name). NB: All personnel over the age of 16 need a separate application/pass. SECTION 2 Certification of Identity One of the following are acceptable proof of ID for British Nationals; - Full 10 year passport - British Driving License One of the following are acceptable as proof of ID for Foreign Nationals; - National Identity Card - Full Passport The following are not acceptable as proof of identity; - Duplicate or photocopied documents - An international driving licence - Birth Certificates - An old expired British passport Please complete below which document you are able to provide; Document Date of issue Expiry date (if applicable) I consent to a scanned copy of this document to be retained together with this application. Applicant Signature:. Date:.. 1-1

SECTION 3 Sponsor s Details: Your sponsor must be an approved sponsor as listed in XTM 25/17Annex A. You are not permitted to Sponsor yourself. Surname:... Forename:... Rank/Rate/Title:... Club/Association:...Tel:... E-mail.. I confirm that the applicant named in Section 1 has a genuine reason to access HMS SULTAN facilities. Signature of Sponsor Date:... Second Sponsor s Details: A second sponsor is only required if listed in XTM 25/17 Annex A. You are not permitted to Sponsor yourself. Surname:... Forename:... Rank/Rate/Title:... Club/Association:...Tel:... E-mail.. I confirm that the applicant named in Section 1 has a genuine reason to access HMS SULTAN facilities. Signature of Sponsor Date:... SECTION 4 FOR OFFICIAL USE ONLY 1. Confirm sections 1 to 3 fully completed. 2. Certificate of identity checked and record taken. 3. Sponsor approved in accordance with XTM 25/17 Annex A. 4. Pass issued with 12 month expiry. Approver Signature:. Date Stamp Rejected applications are to be passed to ESyO. Applicants should be informed that ESyO will contact them within 28 days to notify of decision. SECTION 5 INDEMNITY/DATA PROTECTION ACT 1984 - Applicant Acknowledgement/Declaration I understand that no liability will be accepted by the Ministry of Defence, its servants or agents for any accident injury or loss of personal effects that may occur to users of the various facilities at HMS SULTAN. I consent to limited information necessary for the processing of this application being stored on SULTAN pass database. I confirm that the details on this form are correct and that I have been issued with the pass authorised above. I also confirm that I understand the conditions set out in XTM 25/17. Applicant Full Name:.... Applicant Signature:. Date:.. 1-2