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Sheet1 - Camp Atterbury Joint Maneuver Training Center _CAJMTC_

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					                    CAMP ATTERBURY JOINT MANEUVER TRAINING CENTER
                                  FACILITIES REQUEST
This three page form is to be submitted electronically or hard copy to CAJMTC Scheduling concurrent with or prior to any
RFMSS input. Reservation of facilities can not occur if this form is not submitted in its entirety.


                                                       PART I - REQUEST DATE INFO
                PRIMARY REQUEST DATES                                            ALTERNATE REQUEST DATES                                 DATE SUBMITTED



                                                   PART II - UNIT INFORMATION
                   UNIT/ORGANIZATION                                         UIC                    UNIT TYPE (ARNG/USAR/NON-DOD) & TRAINING STATUS



                                                                       UNIT ADDRESS




                                           POINT OF CONTACT (Name, Rank, Position)


                                                                    Phone Number


                                                                       Email address



                            PART III - ATTACHED/ACCOMPANYING UNITS/ORGANIZATIONS
                            List all units organizaitons training with this unit. Derivative UICs of parent unit are not required.




          PART IV - ARRIVAL/DEPARTURE DATA                                                                  PART V - PERSONNEL DATA
                            DATE/TIME            # VEH            # PAX                                          MALE                FEMALE     TOTAL
ETA ADVON                       N/A                                                             OFF
ETA MAIN BODY                11/16 0700                                                         WARRANT

ETD MAIN BODY                11/17 1800                                                         ENL

ETD REAR DET                    N/A                                                             CADET

                                  PART VI - VIP                                                 CIVILIAN
Indicate if any VIPs are expected to attend. Provide name, rank, position and
date/time of arrival.                                                                           TOTAL



CAJMTC Form 350-1, 2 MAR 10 SUPERCEDES ALL PREVIOUS EDITIONS                                                                                        PAGE 1
            CAMP ATTERBURY JOINT MANEUVER TRAINING CENTER FACILITIES REQUEST                                            PAGE 2

PRIMARY REQUEST DATES                                            ALTERNATE REQUEST DATES
                                                                  FROM      TO     FROM                     TO
       FACILITY ID                    EVENT/AMMO
                                                                   DATE    DATE     TIME                   TIME         # PAX




                                                   JSTEC/SIMULATION DIVISION
           JSTEC             DATES:                                  Start/End Time:                     PAX Count:

Classified Exercise                     NO             Network Connectivity NO                     Audio/Video        YES
Simulation/Event Description/Please be specific of any requirements (ie: # of ports, ISP, etc)




EST 2000                       M9            M4           M16       M240         M249            M2        MK19         M1200
PAX COUNT

            Date

Start/End Time
                                                                                 MRAP
                             M203            AT4         HEAT     MRAP CDT                       VCOT      ACFFT            VBS2
                                                                               ROLLOVER

PAX Count

Date

Start/End Time
CAJMTC Form 350-1, 2 MAR 10 SUPERCEDES ALL PREVIOUS EDITIONS                                                                PAGE 2
            CAMP ATTERBURY JOINT MANEUVER TRAINING CENTER FACILITIES REQUEST                                      PAGE 3

                                                BILLETING REQUIREMENTS
                                         PERSONNEL COUNT
                                                                                   ADMINISTRATIVE BUILDINGS
      BILLET TYPE
                           MALE         FEMALE      MALE        FEMALE
                          OFFICER       OFFICER    ENLISTED    ENLISTED             ASD


BARRACKS                                                                            BDE/BN HQ

BOQ                                                                                 BN SUP
CHARGEABLE TRANSIENT
QUARTERS                                                                            OTHER

                                                  FOB/COL FACILITIES
PAX Count
Male                     TOC           Yes/No     BDE/BN      Command & Control Area            Yes/No       BDE/BN
Female                   Supply Area              Yes/No      BDE/BN   DFAC                     Yes/No
                         Admin Area               Yes/No      BDE/BN   Classroom                Yes/No
Vehicle type and count                                                 WiFi Trailer             Yes/No
                                                                       Reach Back Trailer       Yes/No




                                                     RTI FACILITIES

     CLASSROOM                                         BILLET ROOMS
PAX Count                                         MALE         QTY:       DBL/SGL
TABLES                   QTY:                     FEMALE       QTY:       DBL/SGL
CHAIRS                   QTY:                     VIP SUITE
COMPUTER LAB             Yes/No
CONNECTIVITY             Yes/No
ADDITIONAL INFORMATION: Enter any information helpful to the understanding of your concept of operations. This
information will be used by Range Control and Scheduling Personnel to ensure your mission requirements are met.




CAJMTC Form 350-1, 2 MAR 10 SUPERCEDES ALL PREVIOUS EDITIONS                                                 PAGE 3
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