SOLDIER'S DATA SHEET - A FREE Online ...
SOLDIER'S PERSONAL DATA SHEET
DATE
PRIVACY ACT OF 1974 COMPLIANCE INFORMATION The following information is provided in accordance with 5 U.S.C. 552a(e)(3) and applies to this form. Authority for collection of the information is 44 U.S.C. 2907, 3101, and 3103, and E.O. 9397 of November 22, 1943. Disclosure of the information is voluntary. The purpose of the information on this form is to assist your unit servicing the records. This form is then filed in the requested military service record as a record of disclosure. The form may also be disclosed to Department of Defense components, the Department of Veterans Affairs, the Department of Transportation (Coast Guard), or the National Archives and Records Administration when the original custodian of the military health and personnel records transfers all or part of those records to that agency. If the service member was a member of the National Guard, the form may also be disclosed to the Adjutant General of the appropriate state,District of Columbia, or Puerto Rico, where he or she served. The following information will not be shared with any unauthorized personal.
NAME
SSN
RANK/GRADE
ORGANIZATION
PMOS
SMOS
DATE OF BIRTH
AGE
WEIGHT lbs HEIGHT in inches HAIR
EYES
BLOOD TYPE
DATE OF RANK
BASD
ETS
TIG
TIS
RELIGION
22. ADDRESS
HOME PHONE
PROMOTABLE
POINTS
DATE LAST NCOER
YES
NO
DEPENDENTS
MARITAL STATUS
MARRIED
SINGLE
DIVORCED
SEPARATED
SPOUSE'S NAME
EFMP
DATE OF MARRIAGE
YES
NO
CHILD'S NAME
EFMP
AGE
SEX
YES
NO
CHILD'S NAME
EFMP
AGE
SEX
YES
NO
CHILD'S NAME
EFMP
AGE
SEX
YES
NO
CHILD'S NAME
EFMP
AGE
SEX
YES
NO
IF YOU HAVE MORE THEN FOUR CHILDREN OR HAVE ANY SPECIAL NEEDS FOR YOUR FAMILY DICTATE IT IN REMARKS.
NEXT OF KIN
NAME
ADDRESS
ALTERNATE NAME
PHONE 8 NOV 2006
ALTERNATE PHONE
ALTERNATE ADDRESS
PAGE 1of 2
DATE LAST APFT
PUSH-UPS
ARMY TRANING
SIT-UPS
RUN TIME
TOTAL SCORE
DATE LAST WEIGH-IN
BODY FAT%
TYPE OF PROFILE (EXPLAIN)
ALLOWABLE FAT% PROFILE
TEMPORARY
PERMANENT
DATE WEAPON QUAL
WEAPON TYPE QUALIFIED
MARKS MEN
SHARP SHOOTER
EXPERT
DATE CREW SERVED WEAPON QUAL TYPE
QUALIFIED
MARKS MEN
SHARP SHOOTER
EXPERT
DATE CTT TEST
DATE DRIVERS TRAINING TYPE OF VEHICLE
GO
NO GO
DATE PLDC
DATE BNCOC
DATE ANCOC
NBC SUIT SIZE
ARMY EQUIPMENT NBC MASK SIZE NBC BOOT SIZE NBC GLOVE SIZE HAT SIZE
ACU TOP SIZE
ACU TROUSER SIZE
BOOT SIZE
ARMY AWARDS DECORATIONS AND ACHIEVEMENTS
TYPE
#
TYPE
#
TYPE
#
TYPE
#
MAKE
MODEL
PRIVATELY OWNED VEHICLE
YEAR
COLOR
LIC PLATE POST DEC INS CO,
EXP DATE
REMARKS 8 NOV 2006
PAGE 2 of 2
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