Updated: 22 June 2005

ODC blank form:

Degrees/Courses info for ODC:

Note 1: All email addresses are @navy.mil except as noted for blocks 47, 66, 67, 68

Note 2: All Commercial Number prefixes: (901) 874; DSN prefix: 882 except for blocks 47, 66, 67, 68

Note 3: All Commercial Number prefixed (504) 697; DSN prefix: 647

BLOCK / BLOCK NAME / POC EMAIL / POC ADDRESS / POC PHONE # / INFORMATION REQUIRED TO MAKE CHANGE
1 / SSN / NSIPS / Information Technology Center
ITC 14 BLDG 3 Third Floor
Attn: CDM
2251 Lakeshore Dr
New Orleans, LA 70145 / 1-877-589-5991
FAX:
1-504-697-0342 / Official correspondence from your command, SS Card
2 / Name / NSIPS / Information Technology Center
ITC 14 BLDG 3 Third Floor
Attn: CDM
2251 Lakeshore Dr
New Orleans, LA 70145 / 1-877-589-5991
FAX:
1-504-697-0342 / Official correspondence from your command, legal documents
3 / Sex / NSIPS / Information Technology Center
ITC 14 BLDG 3 Third Floor
Attn: CDM
2251 Lakeshore Dr
New Orleans, LA 70145 / 1-877-589-5991
FAX:
1-504-697-0342 / Birth Certificate
4 / Designator
(4th digit for augumentation only) / P4802 (Active)
P4911 (Reserves) / Navy Personnel Command
PERS-
5720 Integrity Drive
Millington, TN 38055-xxxx / 4537 (Active)
2675 (Fax)
4491 (Reserve)
2753 (Fax) / As required. Contact cognizant NPC code for more information.
5 / Grade / p8021
p861c7 (for TAR) / Navy Personnel Command
PERS-XXX
5720 Integrity Drive
Millington, TN 38055-xxxx / 4937 (PERS-851)
2751 (851 fax)
4537 (PERS-861c7)
2675 (86 fax) / Official correspondence from your command
Signed A & O
6 / Year Group / p8021
p861c7 (for TAR) / Navy Personnel Command
PERS-XXX
5720 Integrity Drive
Millington, TN 38055-xxxx / 4937 (PERS-851)
2751 (851 fax)
4537 (PERS-86)
2675 (86 fax) / Officer Appointment and Oath of Office (NAVCRUIT 1000-20)
7 / Precedence Number / p851
p861c7 (for TAR) / Navy Personnel Command
PERS-851/861
5720 Integrity Drive
Millington, TN 38055-xxxx / 4937 (PERS-851)
2751 (851 fax)
4537 (PERS-86)
2675 (86 fax) / As required. Contact cognizant NPC code for more information.
8 / Birth Date / NSIPS / Information Technology Center
ITC 14 BLDG 3 Third Floor
Attn: CDM
2251 Lakeshore Dr
New Orleans, LA 70145 / 1-877-589-5991
FAX:
1-504-697-0342 / IAW MILPERSMAN 1000-120
9 / Promotion List Service Date / p8021 / Navy Personnel Command
PERS-8021
5720 Integrity Drive
Millington, TN 38055-8510 / 4937
2751 (fax) / As required. Contact cognizant NPC code for more information.
10 / Previous Military Service / p822 / Navy Personnel Command
PERS-822
5720 Integrity Drive
Millington, TN 38055-8220 / 3180
2622 (fax) / NAVPERS 1070/26
11 / Submarine Qual / p421e / Navy Personnel Command
PERS-421E
5720 Integrity Drive
Millington, TN 38055-4210 / 3934
2648 (fax) / As required. Contact cognizant NPC code for more information.
12 / Heavier than Air Qual / p432o / Navy Personnel Command
PERS-432O
5720 Integrity Drive
Millington, TN 38055-4320 / 3947
2721 (fax) / As required. Contact cognizant NPC code for more information.
13 / Naval Flight Officer Qual / p432o / Navy Personnel Command
PERS-432O
5720 Integrity Drive
Millington, TN 38055-4320 / 3947
2721 (fax) / As required. Contact cognizant NPC code for more information.
14 / Projected Rotation Date / Your Detailer / Navy Personnel Command
PERS-XXXX
Integrity Drive
Millington, TN 38055-xxxx / xxxx / As required. Contact cognizant NPC code for more information.
15 / Activity
Estimated Loss Code/Date / Your Detailer
Sep/Ret – P8 / Navy Personnel Command
PERS-XXXX
Integrity Drive
Millington, TN 38055-xxxx / xxxx / As required. Contact cognizant NPC code for more information.
16 / Pay Entry Base Date / p822 / Navy Personnel Command
PERS-822
5720 Integrity Drive
Millington, TN 38055-8220 / 3180
2622 (fax) / As required. Contact cognizant NPC code for more information.
17 / Service Date / p822
p861c7 (for TAR) / Navy Personnel Command
PERS-822/86
5720 Integrity Drive
Millington, TN 38055-xxxx / 3180 (PERS-822)
2622 (822 fax)
4537 (PERS-86)
2675 (86 fax) / As required. Contact cognizant NPC code for more information.
18 / Eligible to Retire Date / p822 / Navy Personnel Command
PERS-822
5720 Integrity Drive
Millington, TN 38055-8220 / 3180
2622 (fax) / As required. Contact cognizant NPC code for more information.
19 / Active Commission Base Date / p822 / Navy Personnel Command
PERS-822
5720 Integrity Drive
Millington, TN 38055-8220 / 3180
2622 (fax) / As required. Contact cognizant NPC code for more information.
20 / Active Duty Service Date / p822 / Navy Personnel Command
PERS-822
5720 Integrity Drive
Millington, TN 38055-8220 / 3180
2622 (fax) / As required. Contact cognizant NPC code for more information.
21 / Current Gain Date / NSIPS / Information Technology Center
ITC 14 BLDG 3 Third Floor
Attn: CDM
2251 Lakeshore Dr
New Orleans, LA 70145 / 1-877-589-5991
FAX:
1-504-697-0342 / Official correspondence from your command
22 / Professional Service Date / p822 / Navy Personnel Command
PERS-822
5720 Integrity Drive
Millington, TN 38055-8220 / 3180
2622 (fax) / As required. Contact cognizant NPC code for more information.
23 / Minimum Service Required / Your Detailer / Navy Personnel Command
PERS-XXXX
Integrity Drive
Millington, TN 38055-xxxx / xxxx / As required. Contact cognizant NPC code for more information.
24 / Source Code / P802 / Navy Personnel Command
PERS-802
5720 Integrity Drive
Millington, TN 38055-3120 / 4523
2660 (fax) / As required. Contact cognizant NPC code for more information.
25 / Dependents / NSIPS / Information Technology Center
ITC 14 BLDG 3 Third Floor
Attn: CDM
2251 Lakeshore Dr
New Orleans, LA 70145 / 1-877-589-5991
FAX:
1-504-697-0342 / Current Page 2 (NAVPERS 1070/602)
26 / Aviation Commission Date / p432o / Navy Personnel Command
PERS-432O
5720 Integrity Drive
Millington, TN 38055-4320 / 3947
2721 (fax) / As required. Contact cognizant NPC code for more information.
27 / Aviation Service Entry Date / p432o / Navy Personnel Command
PERS-432O
5720 Integrity Drive
Millington, TN 38055-4320 / 3947
2721 (fax) / As required. Contact cognizant NPC code for more information.
28 / Months of Operational Flying / p432o / Navy Personnel Command
PERS-432O
5720 Integrity Drive
Millington, TN 38055-4320 / 3947
2721 (fax) / As required. Contact cognizant NPC code for more information.
29 / Months to Gate / p432o / Navy Personnel Command
PERS-432O
5720 Integrity Drive
Millington, TN 38055-4320 / 3947
2721 (fax) / As required. Contact cognizant NPC code for more information.
30 / Months of Operations Flying Required / p432o / Navy Personnel Command
PERS-432O
5720 Integrity Drive
Millington, TN 38055-4320 / 3947
2721 (fax) / As required. Contact cognizant NPC code for more information.
31 / Aviation Gate / p432o / Navy Personnel Command
PERS-432O
5720 Integrity Drive
Millington, TN 38055-4320 / 3947
2721 (fax) / As required. Contact cognizant NPC code for more information.
32 / Aviation Status Indicator / p432o / Navy Personnel Command
PERS-432O
5720 Integrity Drive
Millington, TN 38055-4320 / 3947
2721 (fax) / As required. Contact cognizant NPC code for more information.
33 / Aviation Billet Indicator / p432o / Navy Personnel Command
PERS-432O
5720 Integrity Drive
Millington, TN 38055-4320 / 3947
2721 (fax) / As required. Contact cognizant NPC code for more information.
34 / Primary Aeronautical Designator
34a. Service Group / p432o / Navy Personnel Command
PERS-432O
5720 Integrity Drive
Millington, TN 38055-4320 / 3947
2721 (fax) / As required. Contact cognizant NPC code for more information.
35 / Aviation Status Indicator Effective Date / p432o / Navy Personnel Command
PERS-432O
5720 Integrity Drive
Millington, TN 38055-4320 / 3947
2721 (fax) / As required. Contact cognizant NPC code for more information.
36 / Promotion History / p8021
p861c7 (for TAR) / Navy Personnel Command
PERS-XXX
5720 Integrity Drive
Millington, TN 38055-xxxx / 4937 (PERS-851)
2751 (851 fax)
4537 (PERS-86)
2675 (86 fax) / Appointment Letter (NAVPERS 1421/7)
37 / Promotion Status / p8021
p861c7 (for TAR) / Navy Personnel Command
PERS-XXX
5720 Integrity Drive
Millington, TN 38055-xxxx / 4937 (PERS-851)
2751 (851 fax)
4537 (PERS-86)
2675 (86 fax) / Appointment Letter (NAVPERS 1421/7)
38 / Spot Grade / p8021
p861c7 (for TAR) / Navy Personnel Command
PERS-XXX
5720 Integrity Drive
Millington, TN 38055-xxxx / 4937 (PERS-851)
2751 (851 fax)
4537 (PERS-86)
2675 (86 fax) / Appointment Letter (NAVPERS 1421/7)
39 / Spot Grade Date of Rank / p8021
p861c7 (for TAR) / Navy Personnel Command
PERS-XXX
5720 Integrity Drive
Millington, TN 38055-xxxx / 4937 (PERS-851)
2751 (851 fax)
4537 (PERS-86)
2675 (86 fax) / Appointment Letter (NAVPERS 1421/7)
40 / Permanent Grade / p8021
p861c7 (for TAR) / Navy Personnel Command
PERS-XXX
5720 Integrity Drive
Millington, TN 38055-xxxx / 4937 (PERS-851)
2751 (851 fax)
4537 (PERS-86)
2675 (86 fax) / Appointment Letter (NAVPERS 1421/7)
41 / Nuclear Commission Date / p421e / Navy Personnel Command
PERS-421E
5720 Integrity Drive
Millington, TN 38055-4210 / 3934
2648 (fax) / As required. Contact cognizant NPC code for more information.
42 / Nuclear Service Control Date / p421e / Navy Personnel Command
PERS-421E
5720 Integrity Drive
Millington, TN 38055-4210 / 3934
2648 (fax) / As required. Contact cognizant NPC code for more information.
43 / Nuclear Status Indicator / p421e / Navy Personnel Command
PERS-421E
5720 Integrity Drive
Millington, TN 38055-4210 / 3934
2648 (fax) / As required. Contact cognizant NPC code for more information.
44 / Submarine Service Entry Date / p421e / Navy Personnel Command
PERS-421E
5720 Integrity Drive
Millington, TN 38055-4210 / 3934
2648 (fax) / As required. Contact cognizant NPC code for more information.
45 / Submarine Status Indicator / p421e / Navy Personnel Command
PERS-421E
5720 Integrity Drive
Millington, TN 38055-4210 / 3934
2648 (fax) / As required. Contact cognizant NPC code for more information.
46 / Submarine Service Control Date / p421e / Navy Personnel Command
PERS-421E
5720 Integrity Drive
Millington, TN 38055-4210 / 3934
2648 (fax) / As required. Contact cognizant NPC code for more information.
47 / Academic Profile Code / .
mil
(Naval Postgraduate
School) / Director of Admissions
Code 01B3
Naval Postgraduate School
589 Dyer Road Room 103C
Monterey, CA 93943-5100 / (831) 656-3093 DSN prefix: 878
2891/2640 (fax) / Original transcripts from all undergraduate and any graduate schools attended.
48 / Aviation Officer Continuation Pay/Years Extention / p432o / Navy Personnel Command
PERS-432O
5720 Integrity Drive
Millington, TN 38055-4320 / 3947
2721 (fax) / As required. Contact cognizant NPC code for more information.
49 / N/A
50 / N/A
51 / Designator History / NSIPS / Information Technology Center
ITC 14 BLDG 3 Third Floor
Attn: CDM
2251 Lakeshore Dr
New Orleans, LA 70145 / 1-877-589-5991
FAX:
1-504-697-0342 / Official correspondence from your command; FITREPs..
52 / Service Schools / NSIPS
p45j (for all joint
service schools
and NWC) / Information Technology Center
ITC 14 BLDG 3 Third Floor
Attn: CDM
2251 Lakeshore Dr
New Orleans, LA 70145 / 1-877-589-5991
FAX:
1-504-697-0342 / Course title, school location, completion date, course duration, and diploma/certificate of completion.
53 / Service College Bank / p440a/c / Navy Personnel Command
PERS-440A/C
5720 Integrity Drive
Millington, TN 38055-4400 / 4100
2676 (fax) / As required. Contact cognizant NPC code for more information.
54 / Formal Education / NSIPS / Information Technology Center
ITC 14 BLDG 3 Third Floor
Attn: CDM
2251 Lakeshore Dr
New Orleans, LA 70145 / 1-877-589-5991
FAX:
1-504-697-0342 / Degree
55 / Year Completed / NSIPS / Information Technology Center
ITC 14 BLDG 3 Third Floor
Attn: CDM
2251 Lakeshore Dr
New Orleans, LA 70145 / 1-877-589-5991
FAX:
1-504-697-0342 / Degree
56 / Navy-Sponsored Postgraduate Education / NSIPS / Information Technology Center
ITC 14 BLDG 3 Third Floor
Attn: CDM
2251 Lakeshore Dr
New Orleans, LA 70145 / 1-877-589-5991
FAX:
1-504-697-0342 / Certificate of completion for Navy-sponsored postgraduate courses.
57 / Block 56 Codes / NSIPS / Information Technology Center
ITC 14 BLDG 3 Third Floor
Attn: CDM
2251 Lakeshore Dr
New Orleans, LA 70145 / 1-877-589-5991
FAX:
1-504-697-0342 / Certificate of completion for Navy-sponsored postgraduate courses.
58 / Level of Education / NSIPS / Information Technology Center
ITC 14 BLDG 3 Third Floor
Attn: CDM
2251 Lakeshore Dr
New Orleans, LA 70145 / 1-877-589-5991
FAX:
1-504-697-0342 / Degree
59 / Major Field of Study / NSIPS / Information Technology Center
ITC 14 BLDG 3 Third Floor
Attn: CDM
2251 Lakeshore Dr
New Orleans, LA 70145 / 1-877-589-5991
FAX:
1-504-697-0342 / Degree
60 / Specialization Within Block 59 / NSIPS / Information Technology Center
ITC 14 BLDG 3 Third Floor
Attn: CDM
2251 Lakeshore Dr
New Orleans, LA 70145 / 1-877-589-5991
FAX:
1-504-697-0342 / Degree
61 / >18 hrs Postgraduate Education Completed / NSIPS / Information Technology Center
ITC 14 BLDG 3 Third Floor
Attn: CDM
2251 Lakeshore Dr
New Orleans, LA 70145 / 1-877-589-5991
FAX:
1-504-697-0342 / Transcripts of completed graduate education.
62 / Language Proficiency / NSIPS / Information Technology Center
ITC 14 BLDG 3 Third Floor
Attn: CDM
2251 Lakeshore Dr
New Orleans, LA 70145 / 1-877-589-5991
FAX:
1-504-697-0342 / As required. Contact cognizant NPC code for more information.
63 / N/A
64 / Year DLPT Administered / NSIPS / Information Technology Center
ITC 14 BLDG 3 Third Floor
Attn: CDM
2251 Lakeshore Dr
New Orleans, LA 70145 / 1-877-589-5991
FAX:
1-504-697-0342 / Defense Language Proficiency Test results; Language Proficiency Questionnaire (if self-evaluated).
65 / Proficiency in More Than Two Languages / NSIPS / Information Technology Center
ITC 14 BLDG 3 Third Floor
Attn: CDM
2251 Lakeshore Dr
New Orleans, LA 70145 / 1-877-589-5991
FAX:
1-504-697-0342 / As required. Contact cognizant NPC code for more information.
66 / Subspecialty Code / p440e2
*all Medical suffixes @us.med.navy.mil
Medical Corps:
jrdevoll
Nurse Corps:
adlambert
Dental Corps:
rdfoss
Medical Service Corps:
awbarrow / Navy Personnel Command
PERS-440E2
5720 Integrity Drive
Millington, TN 38055-34400
BUMED
MED-xxxxx (see below)
2300 E. Street NW
Washington, D.C. 20372-5300
Medical Corps: 00MCB4
Nurse Corps: 00NCB3
Dental Corps: 00DCB
Medical Service Corps: 00MSC / 4057 (PERS-440E2)
2676 (440E2 fax)
Medical Corps:
(202) 762-3396
DSN prefix: 762
fax:
Nurse Corps:
(202) 762-3039
DSN prefix: 762
fax: 3727
Dental Corps:
(202) 762-3025
DSN prefix: 762
fax: 3023
Medical Service Corps:
(202) 762-3072
DSN prefix: 762
fax: 1626 / As required. Contact cognizant NPC code for more information.
67 / Subspecialty Code / p440e2
*all Medical suffixes @us.med.navy.mil
Medical Corps:
jrdevoll
Nurse Corps:
adlambert
Dental Corps:
rdfoss
Medical Service Corps:
awbarrow / Navy Personnel Command
PERS-440E2
5720 Integrity Drive
Millington, TN 38055-34400
BUMED
MED-xxxxx (see below)
2300 E. Street NW
Washington, D.C. 20372-5300
Medical Corps: 00MCB4
Nurse Corps: 00NCB3
Dental Corps: 00DCB
Medical Service Corps: 00MSC / 4057 (PERS-440E2)
2676 (440E2 fax)
Medical Corps:
(202) 762-3396
DSN prefix: 762
fax:
Nurse Corps:
(202) 762-3039
DSN prefix: 762
fax: 3727
Dental Corps:
(202) 762-3025
DSN prefix: 762
fax: 3023
Medical Service Corps:
(202) 762-3072
DSN prefix: 762
fax: 1626 / As required. Contact cognizant NPC code for more information.
68 / Subspecialty Code / p440e2
*all Medical suffixes @us.med.navy.mil
Medical Corps:
jrdevoll
Nurse Corps:
adlambert
Dental Corps:
rdfoss
Medical Service Corps:
awbarrow / Navy Personnel Command
PERS-440E2
5720 Integrity Drive
Millington, TN 38055-34400
BUMED
MED-xxxxx (see below)
2300 E. Street NW
Washington, D.C. 20372-5300
Medical Corps: 00MCB4
Nurse Corps: 00NCB3
Dental Corps: 00DCB
Medical Service Corps: 00MSC / 4057 (PERS-440E2)
2676 (440E2 fax)
Medical Corps:
(202) 762-3396
DSN prefix: 762
fax:
Nurse Corps:
(202) 762-3039
DSN prefix: 762
fax: 3727
Dental Corps:
(202) 762-3025
DSN prefix: 762
fax: 3023
Medical Service Corps:
(202) 762-3072
DSN prefix: 762
fax: 1626 / As required. Contact cognizant NPC code for more information.
69 / N/A
70 / N/A
71 / N/A
72 / Additional Qualification Designations / Your Detailer / Navy Personnel Command
PERS-XXXX
Integrity Drive
Millington, TN 38055-xxxx / xxxx / As required. Contact cognizant NPC code for more information.
POC: Mr Glenn Stubbs 901-874-4126
73 / Primary Duty / NSIPS / Information Technology Center
ITC 14 BLDG 3 Third Floor
Attn: CDM
2251 Lakeshore Dr
New Orleans, LA 70145 / 1-877-589-5991
FAX:
1-504-697-0342 / Official correspondence from your command; FITREPs.
74 / N/A
75 / Accounting Category Code / NSIPS / Information Technology Center
ITC 14 BLDG 3 Third Floor
Attn: CDM
2251 Lakeshore Dr
New Orleans, LA 70145 / 1-877-589-5991
FAX:
1-504-697-0342 / Official correspondence from your command.
76 / Date Reported / NSIPS / Information Technology Center
ITC 14 BLDG 3 Third Floor
Attn: CDM
2251 Lakeshore Dr
New Orleans, LA 70145 / 1-877-589-5991
FAX:
1-504-697-0342 / Official correspondence from your command.
77 / Present Duty Station / NSIPS / Information Technology Center
ITC 14 BLDG 3 Third Floor
Attn: CDM
2251 Lakeshore Dr
New Orleans, LA 70145 / 1-877-589-5991
FAX:
1-504-697-0342 / As required. Contact cognizant NPC code for more information.
78 / Type of Assignment / NSIPS / Information Technology Center
ITC 14 BLDG 3 Third Floor
Attn: CDM
2251 Lakeshore Dr
New Orleans, LA 70145 / 1-877-589-5991
FAX:
1-504-697-0342 / As required. Contact cognizant NPC code for more information.
79 / Subspecialty Utilization / p440e2 / Navy Personnel Command
PERS-440E2
5720 Integrity Drive
Millington, TN 38055-4400 / 4057
2676 (fax) / As required. Contact cognizant NPC code for more information.
80 / Homeport / NSIPS / Information Technology Center
ITC 14 BLDG 3 Third Floor
Attn: CDM
2251 Lakeshore Dr
New Orleans, LA 70145 / 1-877-589-5991
FAX:
1-504-697-0342 / As required. Contact cognizant NPC code for more information.
81 / Ship/Station Code / NSIPS / Information Technology Center
ITC 14 BLDG 3 Third Floor
Attn: CDM
2251 Lakeshore Dr
New Orleans, LA 70145 / 1-877-589-5991
FAX:
1-504-697-0342 / As required. Contact cognizant NPC code for more information.
82 / Present Billet / NSIPS / Information Technology Center
ITC 14 BLDG 3 Third Floor
Attn: CDM
2251 Lakeshore Dr
New Orleans, LA 70145 / 1-877-589-5991
FAX:
1-504-697-0342 / FITREPs
83 / Navy Officer Billet Classification / NSIPS / Information Technology Center
ITC 14 BLDG 3 Third Floor
Attn: CDM
2251 Lakeshore Dr
New Orleans, LA 70145 / 1-877-589-5991
FAX:
1-504-697-0342 / As required. Contact cognizant NPC code for more information.
84 / Date of Block 83 / NSIPS / Information Technology Center
ITC 14 BLDG 3 Third Floor
Attn: CDM
2251 Lakeshore Dr
New Orleans, LA 70145 / 1-877-589-5991
FAX:
1-504-697-0342 / FITREPs
85 / Previous Billet / NSIPS / Information Technology Center
ITC 14 BLDG 3 Third Floor
Attn: CDM
2251 Lakeshore Dr
New Orleans, LA 70145 / 1-877-589-5991
FAX:
1-504-697-0342 / FITREPs; letters of appointment.
86 / NOBC for Block 85 / NSIPS / Information Technology Center
ITC 14 BLDG 3 Third Floor
Attn: CDM
2251 Lakeshore Dr
New Orleans, LA 70145 / 1-877-589-5991
FAX:
1-504-697-0342 / As required. Contact cognizant NPC code for more information.
87 / Months for Block 85 / NSIPS / Information Technology Center
ITC 14 BLDG 3 Third Floor
Attn: CDM
2251 Lakeshore Dr
New Orleans, LA 70145 / 1-877-589-5991
FAX:
1-504-697-0342 / FITREPs; letters of appointment.
88 / Previous Billet / NSIPS / Information Technology Center
ITC 14 BLDG 3 Third Floor
Attn: CDM
2251 Lakeshore Dr
New Orleans, LA 70145 / 1-877-589-5991
FAX:
1-504-697-0342 / FITREPs; letters of appointment.
89 / NOBC for Block 88 / NSIPS / Information Technology Center
ITC 14 BLDG 3 Third Floor
Attn: CDM
2251 Lakeshore Dr
New Orleans, LA 70145 / 1-877-589-5991
FAX:
1-504-697-0342 / As required. Contact cognizant NPC code for more information.
90 / Months for Block 88 / NSIPS / Information Technology Center
ITC 14 BLDG 3 Third Floor
Attn: CDM
2251 Lakeshore Dr
New Orleans, LA 70145 / 1-877-589-5991
FAX:
1-504-697-0342 / FITREPs; letters of appointment.
91 / Chronological History/Navy Officer Classification/Number of Months Experience / NSIPS / Information Technology Center
ITC 14 BLDG 3 Third Floor
Attn: CDM
2251 Lakeshore Dr
New Orleans, LA 70145 / 1-877-589-5991
FAX:
1-504-697-0342 / FITREPs; letters of appointment.
92 / Security Clearance / p8311 / Navy Personnel Command
PERS-8311
5720 Integrity Drive
Millington, TN 38055-8311 / 4403
2627(fax) / As required. Contact cognizant NPC code for more information.
93 / Security Clearance Date / P8311 / Navy Personnel Command
PERS-8311
5720 Integrity Drive
Millington, TN 38055-3120 / 4846
2660 (fax) / As required. Contact cognizant NPC code for more information.
94 / Postgraduate Choice Information / Your Detailer / Navy Personnel Command
PERS-XXXX
Integrity Drive
Millington, TN 38055-xxxx / xxxx / As required. Contact cognizant NPC code for more information.
95 / Race / Self Service on BOL / Navy Personnel Command
PERS-312G
5720 Integrity Drive
Millington, TN 38055-3120 / 4846
2660 (fax) / As required. Contact cognizant NPC code for more information.
96 / Ethnic Group / Self Service on BOL / Navy Personnel Command
PERS-312G
5720 Integrity Drive
Millington, TN 38055-3120 / 4846
2660 (fax) / As required. Contact cognizant NPC code for more information.
97 / Occupation Code for LDO/CWO / Your Detailer / Navy Personnel Command
PERS-XXXX
Integrity Drive
Millington, TN 38055-xxxx / xxxx / As required. Contact cognizant NPC code for more information.
98 / UIC / NSIPS / Information Technology Center
ITC 14 BLDG 3 Third Floor
Attn: CDM
2251 Lakeshore Dr
New Orleans, LA 70145 / 1-877-589-5991
FAX:
1-504-697-0342 / Official correspondence from your command.
99 / Billet Sequence Code / NSIPS / Information Technology Center
ITC 14 BLDG 3 Third Floor
Attn: CDM
2251 Lakeshore Dr
New Orleans, LA 70145 / 1-877-589-5991
FAX:
1-504-697-0342 / As required. Contact cognizant NPC code for more information.
100 / N/A
101 / N/A
102 / Gain/Loss Indicator / Your Detailer / Navy Personnel Command
PERS-XXXX
Integrity Drive
Millington, TN 38055-xxxx / xxxx / As required. Contact cognizant NPC code for more information.
103 / Command and Operational Screen Results / Your Detailer / Navy Personnel Command
PERS-XXXX
Integrity Drive
Millington, TN 38055-xxxx / xxxx / As required. Contact cognizant NPC code for more information.
104 / Detailer's Remarks / Your Detailer / Navy Personnel Command
PERS-XXXX
Integrity Drive
Millington, TN 38055-xxxx / xxxx / As required. Contact cognizant NPC code for more information.
105 / N/A
106 / N/A
107 / Placement Cogizance Code/Assignment Officer Code / Your Detailer / Navy Personnel Command
PERS-XXXX
Integrity Drive
Millington, TN 38055-xxxx / xxxx / As required. Contact cognizant NPC code for more information.
108 / N/A
109 / N/A
110 / N/A

Information to be included for Blocks 4, 14, 15, 23, 72, 97, 102, 103, 107 (regarding Detailers)