NCAGE REGISTRATION FORM

USDC
NCAGE REGISTRATION FORM- North Atlantic Commercial and Govt Entity Code
Certification
1. FROM / DE
2. TO / POUR
- - Please Select Country / S'il vous plaït Choisir le Pays - -
The person filling out this form must include their phone number in this block.
Sender's Email Address:
3. REFERENCE / RÉFÉRENCE
DATE: 3 October 2009
Note: For tracking purposes. The reference can consist of any combination of letters
and numbers.
4. REQUESTED NCAGE CODE FOR / CODE NCAGE DEMANDÉ
Manufacturer /
Fabricant
Vendor /
Distributeur
NATO or International Organisation /
Organisation OTAN ou Internationale
Provider of Services /
Fournisseur de Services
5. PRIORITY / PRIORITÉ (Note: Requests related to registration in the U.S. Central Contractor Registration (CCR) system should be submitted as “emergency” requests.
Emergency / Urgente
Accelerated / Accélérée
Routine / Routine
Denmark does not accept “Emergency” or “Accelerated” requests via Internet
6. NAME AND ADDRESS / NOM ET ADRESSE
Fields NA1, ST1 CTR, and TEL (color coded blue) are mandatory for all organizations. If your organization wishes to register a physical address, fields PSC and CIT (color coded red)
are mandatory. If your organization wishes to register a postal address that is different than the physical address, fields PCS and PCC (color coded green) are mandatory.
NA1
to
NA5
| Organization Name /
| Nom de l'Organisme
ST1
to
ST2
| Street /
| Rue
CIT
| City, Physical Address /
| Ville, Adresse Géographique
STE
| State or Province (US and Canada only) /
| Etat ou Province (seulement EU et Canada)
STT
| State, Province, Region or County (other than US and Canada) /
| Etat ou Province (autres que EU et Canada)
CTR
| Country /
| Pays
PSC
| Post Code, Physical Address (Zip Code in US) /
| Code Postal, Adresse Géographique
POB
| Post Office Box Number /
| Boíte Postale
PCC
| City, Postal Address/
| Ville, Adresse Postale
PCS
| Post Code, Postal Address /
| Code Postal, Adresse Postale
TEL
| Telephone No./
| No T éléphone
FAX
| Fax No./
| No T élécopieur
IDN
| National Identification Number /
| No d'Identification National
EMA
| E-Mail Address /
| Adresse Courrier Electronique
WWW
| Website Address /
| Adresse Site (sur la toile)
BAR
| EAN/UCC Organization Code /
| Code Adherant EAN/UCC
UNS
| UNSPSC Code /
| Code UNSPSC
SIC
| SIC Code or National Industrial Classification Code/
| SIC Code ou Nomenclature des Activitïes Nationales
NAI
| NAICS Code /
| Code NAICS
NAC
| NACE Code /
| Code NACE
CPV
| CPV Code /
| Code CPV
8. FORMER NAME AND NCAGE CODE / ANCIENS NOM ET CODE NCAGE
NAME / NOM:
NCAGE CODE / CODE NCAGE:
9. REMARKS / REMARQUES
NATO FORM AC/135-No. 2 (Web Version)/
FORMULAIRE OTAN AC/135-No 2A