Transcription of ENLISTED PERSONNEL ACTION REQUEST DD - navygirl.org
1 ENLISTED PERSONNEL ACTION REQUEST DATE (YYMMDD): SSN: FROM: RATE: NEC (PRI/SEC): TO: DUTY PHONE: HOME PHONE: MEMBERS E-MAIL: VIA: CCC E-MAIL: REF: COMMAND TEAMING INFO UPDATED YES NOREASON FOR SUBMISSION (Remarks are limited to 250 characters): DATE AVAILABLE (YYMM):REQUESTEDACTIONE arliest: Latest: PRD: EAOS/SEAOS: SPOUSE SSN:BRANCH OF SERVICE: USN USMC USA USAF USCGSTATUS:SPOUSE RATE/RANK:CURRENT DUTY STATION:ROTATION DATE (YYMM): ENLISTED OFFICER MILITARYSPOUSE DATASPOUSE DETAILER/MONITORNAME PHONE NO.
2 NO. OF IMMEDIATEFAMILY MBRS LOCATION OF IMMEDIATE FAMILY MEMBERS (City, State/Country): ENROLLED EFM:FAMILYMEMBERDATA YES NOLOCATION OF HOUSE HOLD GOODS (City, State/Country): PRIVACY ACT STATEMENT: The authority to REQUEST this information is contained in 5 USC 301 Departmental Regulations andfrom 9397. The principal purpose of the information is to enable you to make known your desires for the various types ofduty listed, or some other special assignment consideration. The information will be used to assist officials and employees of theDepartment of the Navy in determining your future duty assignment.
3 Completion of the form is mandatory except for duty andhome phone numbers; failure to provide information may result in delay in response to or disapproval of your REQUEST PENDING/DATE (YYMM): MEMBER SIGNATURE:EVAL/FITREP PERIOD(YYMMDD-YYMMDD)3334353637383920 PROMOTIONRECRETENTIONREC YES NOHAS CLEAR RECORD (No NJP) FOR PAST YEARS AS REQUIREDINDIVIDUAL SOFFICIAL DATA YES NO N/AMEETS SECURITY CLEARANCE REQUIREMENTS YES NORECOMMENDEDCOMMAND UIC.
4 COMMENTS (Address acceptable gap, relief requirement, waivers, etc.): COMMAND ENDORSEMENTCOMMANDING OFFICER:DATE: NAVPERS 1306/7 (Rev. 01-03)FOR OFFICIAL USE ONLY (When filled in)S/N: 0106-LF-983-3400 Page 1 of 2 FROM: TO: VIA: APPROVED:ORDERS WILL BE ISSUED TO TRANSFER IN _____ TO COMMAND/UIC: ADJUSTED TO _____ BY SEPAC. (ENSURE MEMBER HAS OBLISERV.)AUTHORIZED TO EXTEND ENLISTMENT TO REENLIST FOR _____ YEARS. DISAPPROVED (LETTER OF EXPLANATION FORWARDED)DATE: RETURNED WITHOUT ACTION :NOT ELIGIBLE FOR DUTY NOT IN COMPLIANCE WITH (SEE ADDITIONAL INFO)DETAILER ACTIONADDITIONAL INFORMATION: DATE: SIGNATURE (By direction):CODE: USE THIS SPACE FOR ADDITIONAL COMMAND COMMENTS: NAVPERS 1306/7 (Rev.)
5 01-03)FOR OFFICIAL USE ONLY (When filled in)S/N: 0106-LF-983-3400 Page 2 of 2
