J1P PERSONNEL INITIAL & DATEPERSONNELL:

APPLICABEL ENTRY:ADMIN: JED ADMIN:

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GENERAL

Contact (LAST, FIRST, M)SSN

AgencyService Branch

ComponentDate of Rank

Rank SMOS

PMOSProjected Depart

Start DateNon-deploy Reason

Deployable

Jump LevelEnd Date

RATING SCHEME

RaterSenior RaterReviewer

Rater DateS Rater DateR Date

OFFICER GENERAL INFO

Basic BranchControl Branch

Designation Branch

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EMAIL ADDRESSES

Personal

Service

Unclass

Secret

Top Secret

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DUTY HISTORY

ShortLong

Dwell Time Start

DEROSDROS

ENLISTED ASSIGNMENT INFO

PDSIPDSI Dt

Bonus MOS

Bonus Enlist EligBonus Enl Term

AEAAEA Dt

PROMOTION

PromotableProm Seq#

Prom PtsProm Pts Dt

Promotion MOSProm Select Dt

OFFICER ASSIGNMENT INFO

Career TrackControl Career Man. Field

PrimaryProjected CareerMan. Field

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GENERAL SERVICE DATA

BASDCRSBCRSB Date

Last SRPExtension Req’dExtension Req Sent

ENLISTED SERVICE DATA

ETSPEBDBESD

Nbr Days LostDIEMSReel/Elig/Prob

REDUXAGCMAGCM Elig

OFFICER SERVICE DATA

Basic Date of AptCurrent PPNEAD Current Tour

Source of Orig AptCohort Yr GpType of Orig Apt

AFS MonthsProj/Mand RetAFCS Months

AFCS Days

Curr Svc Agnmt/Expr

ENLISTED DATE OF RANK

PVTPV2PFC

SPCSGTSSG

SFCMSG-1SGSGM-CSM

OFFICER DATE OF RANK

2LT1LTCPT

MAJLTCCOL

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WARRANT OFFICER DATE OF RANK

WO1CW2CW3

CW4CW5

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LANGUAGE APTITUDE

DLAT/DLAB

MILITARY EDUCATION

Mil. Ed. Level

Correspondence CRS Total # Hrs

CIVILIAN EDUCATION

Civ. Ed. LevelSemester Hrs Completed

CERTIFICATIONS

ASVAB

ASVAB Test DateASVAB Test Nbr

GTELECFOODTECH

ADMINFACOMMO

CMBTMECHMAINT

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PERSONAL DATA

Date of Birth(MM/DD/YY)HOR

GenderHORState

Place of BirthCountry of Citiz.

Place of Birth Country Citizenship Status

EFMP Dt Emer. Data Verified

REDCAT

PHYSICAL INFO

PULHESHeightWeight

APFT DateAPFT Score

DEMOGRAPHICS

Marital Status# Child Dependents

# Cmd Sponsored# Adult Dependents

SPOUSE INFO

Spouse Citizenship

Place of Birth StatePlace of Birth Country

Mil Spouse SSNMil Spouse MPC

Spouse Component

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REMARKS

Last Photo

Last HIV Screen

Regimental Affiliation

ASSIGNMENT HISTORY

Last EvalLast PCS

LOSS DATA

Term LV StartTerm LV End

Perm TDY StartPerm TDY End

Dt of Loss

THIS INFORMATION IS COVERED UNDER THE PRIVACY ACT OF 1974 PRIVACY ACT OF 1974 APPLIES – THIS MEMP CONTAINS INFORMATION WHICH MUST BE PROTECTED IAW DOD 5400.11B, AND IT IS FOR OFFICIAL USE ONLY (FOUO)