Personnel Data Sheet - United States Army

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Personnel Data Sheet

Employee Information

First Name

Middle Name

Last Name

Street

City

State

Zip Code

Email Address

Home Phone

Cell Phone

SSN (No Dashes)

Date of Birth

Deployed Duty Description

Rank

Grade

Series

Salary Rate

Type

FLSA

Job Title

Work Phone

Security Information

Clearance Level:

Security Clearance Notes

Issue Date

Expiration Date

Personal Information

Eyes

Hair

Height

Weight

Shirt Size

Gender

Origin

IMPAC Card Holder

Government (Travel) Credit Card

Exp. Date ( MM/YY)

Passport Information

Passport Type

Number

Exp. Date

Emergency Notification

Name

Relationship

Date of Birth

Street Address

City

State

Zip Code

Email

Home Phone

Work Phone

Print Form

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