Defense User Registration System (DURS) Records

Defense User Registration System (DURS)

DTIC Account Registration Form 2018-07-25

Defense User Registration System (DURS) Records

OMB: 0704-0546

Document [pdf]
Download: pdf | pdf
Account Creation...
For Contractor, DoD/Military, and Non-DoD Government Personnel

Instructions

Asterisks (*) denote required fields

General Information

Password

First Name*

Middle Initial

Password* 

Last Name*

Job Title

Re-enter Password*

U. S. Citizen*

Organization *

Security Question*

Yes

No

Security Answer*

Email Address*

test@harner.org

Phone/Fax
Commercial Phone *

Commercial Fax

DSN Phone

DSN Fax

Work Mailing Address
Office Symbol (Attention)

City*

Street Address 1*

State*

- select Street Address 2

ZIP Code*

Street Address 3

Country*

UNITED STATES

Contract Information (Contractors ONLY)

MCTDA Number 

Prime Contract Number*

Cage Code 

NNNNN
Contract Classification*

MCTDA Expiration Date 

- select -

Contract Expiration Date *

MM/DD/YYYY

MM/DD/YYYY

Type of Access Required
Public Release Only

Unclassified/Limited

U.S. Government Approving Official (GAO)
This must be your contract's Program Manager, Contracting Officer, Contracting Officer's Technical
Representative, or Contracting Officer's Representative.

Phone Number *

First Name *
Position Title

- select -

Last Name *

Organization *
Email *

I am also requesting Classified access
Classified access requires that you provide the additional information below.

Classified Access Request
Confidential

Secret

CNWDI

Restricted Data

Security Officer First Name *

Security Officer Email *

Security Officer Last Name *

Security Officer Phone *

Create Account
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File Typeapplication/pdf
File Modified2018-07-25
File Created2018-07-25

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