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Registration I nformation
> Registration
> preApptication
Information
sectionAppticarion
,*r3I? frlt#;t'.'.;
Pleasefill out the following information in order to apply for the FY 2006 R€gular Solicitation BVP
Program.When you have completedthe information,click the'Submit RegistrationInformation'button
at the bottom of the screen.
Note: Informationmarked with an
'i'are requiredfields that must be filled out.
Verify Contact Information
O Jurisdietisn-Inf-o-mltio{l
* Jurisdiction
Name
( DUNSFAQs)
s Oisit-D.UNS
TestJurisdiction
014s78s33
DUNS4
(none)
* Zip Code
12356
- 3212
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lDNumber:of l=aw,E-0-f-g-l'-eementofi
c€l'g
x FullTime
15
x Part Time
3
O poc t nt-o,rm-atiol
x FirstName
naymonO
* LastName
Hago
* Address
123My Place
Address2
* City
Washington
* state
Districtof Columb;"
x zip code
SSggO
x Phone
Number
tioil sos-asss
x Email
t""tOup@rei"V".cot
K,
3SSS ,
{D cEoInformat-ior
* FirstName
k uing
* LastName
Cone
* PhoneNumber
(555)555-5555
x66
* Email
testbvp@reisys.com
O rpoe Lr.iprmatj.o-n
FirstName
Sumit
LastName
Guota
PhoneNumber
(703)281-1745
x999
Email
testbvp@reisys.com
LLEBGCertification
https://vests.ojp.gov/vests/roles/jurisdiction/forms/renewRegistrationjsp?levell:Applicati...2/23/2006
File Type | application/pdf |
File Modified | 2006-05-26 |
File Created | 2006-05-19 |