supporting directive opnavinst 3120.32c division … · 2007. 12. 13. · navpers 1070/6 (rev....
TRANSCRIPT
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27. NAME OF SPOUSE: IS SPOUSE MILITARY?
18. U.S. CITIZEN:
4.
DIVISION OFFICER'S PERSONNEL RECORD FORMPrivacy Act
AUTHORITY: Authority to request the information in this form is derived from 5 U.S.C. 301, Department Regulations.PURPOSE: Purpose of this form is to provide the Division Officer with readily accessable data concerning personnel in his/her division.ROUTINE USES: The information is used by the Division Officer to manage and administer his/her personnel; to determine training needed; to recordtraining completed; to maintain readily accessible data concerning performance, work assignment, and other personnel data to enable the DivisionOfficer to guide and counsel those assigned to him/her.DISCLOSURE: Disclosure of the following items of information on this form is manadatory; name, rate, last 4 digits of SSN, local address and phonenumber (if applicable), workcenter/berthing/bunk number (if applicable). Disclosure of the following items of information is voluntary; reenlistmentintentions, rate desired, special qualifications, name of spouse, names and ages of children. Other items of informationmay be obtained from member'sservice record. Failure to provide those required items of information listed above may result in administrative action being taken; no action will betaken if the individual refurses to disclose those voluntary items of information.
1. NAME (LAST, FIRST, MIDDLE): 2. RATE: 3. SSN (LAST 4): USN
USNR
5. NEC/PRI/SEC
6. DEPT/DIV: 7. WORK CENTER: 8. DUTY SECTION: 9. BERTHING: 10. BUNK/LOCKER NUMBER:
11. DATE OF BIRTH: 12. RELIGIOUS PREFERENCE: 13. SECURITY CLEARANCE/ACCESS
14. ADBD: 15. DATE REPORTED: 16. PRD 17. EAOS:
YES NO
19. GENERAL QUARTERS STATION: 20. UNDERWAY WATCH STATION: 21. PHYSICAL READINESS TEST:
22. SPECIAL QUALIFICATIONS OR INTERESTS:
23. PERMANENT HOME ADDRESS AND TELEPHONE NUMBER: 24. LOCAL ADDRESS AND TELEPHONE NUMBER:
25. MARITAL STATUS: 26. NUMBER OF DEPENDENS: YES
NO
28. NAMES AND AGES OF CHILDREN:
29. PRIMARY NEXT OF KIN: 30. RELATIONSHIP: 31. PRIMARY NEXT OF KIN'S ADDRESS AND TELEPHONE NUMBER:
32. PREVIOUS DUTY
DATE REPORTED UNIT DIVISION DESCRIPTION OF DUTY:
FOR OFFICIAL USE ONLYPRIVACY SENSITIVE
PAGE 1 OF 3NAVPERS 1070/6 (REV. 06-07)
SUPPORTING DIRECTIVE OPNAVINST 3120.32C
S/N: 0107-LF-127-5400
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ELIGIBLE FOR NEXT RATE:
HIGH SCHOOL COLLEGE
DIVISION OFFICER'S PERSONNEL RECORD FORM (CONTINUED)
36. PERFORMANCE TRAITS
EVALUATIONDATE
PROFESSIONALKNOWLEDGE
QUALITYOF WORK
EQUALOPPORTUNITY
MILITARYBEARING/
CHARACTER
PERSONAL JOBACCOMPLISHMENT/
INITIATIVETEAMWORK
LEADERSHIP(OPTIONAL FOR
E1-E3)
37. NAVY-WIDE EXAMINATION ELIGIBILITY (ENTER DATE COMPLETED OR OTHER REQUIRED DATA THAT SHOWS COMPLETION)
PERFORMANCETEST
ENLISTEDWARFARE NLTC
EVALUATIONRECOMMENDATION PFA CITIZENSHIPCLEARANCE
PROPERPATH OF
ADV
"A" or "C"SCHOOL REGA
34. ASVAB SCORES
FORM 5/6/7GI NO AD WK AR SP MK EI MC GS SI AI
FORM 8/9/10GS AR WK PC NO CS AS MK MC EI VE
FORM 11/12/13GS AR WK PC MK EI AS MC AO VE CD
33. FORMAL EDUCATION
9 10 11 12
HIGH SCHOOL GEDCOLLEGE CLEP
1 2 3 4
MAJOR
PART I PART II PART III PART IV PART V
35. SHIPBOARD QUALIFICATIONS (DATES QUALIFIED)
GENERAL PQS DAMAGE CONTROL 3-M FIRE FIGHTING SHIP CLASS REQUAL DC SHIP CLASS
DATE OF PRESENT RATE:
YES NO
PAGE 2 OF 3FOR OFFICIAL USE ONLYPRIVACY SENSITIVE
NAVPERS 1070/6 (REV. 06-07)
DATE ELIGIBLE FOR NEXT RATE:
S/N: 0107-LF-127-5400
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DIVISION OFFICER'S PERSONNEL RECORD FORM (CONTINUED)
38. NAVAL EDUCATION RECORD
SERVICE SCHOOLS
TITLE DATECOMPLETED GRADE GRADEDATE
COMPLETEDTITLE
MILITARY CORRESPONDENCE COURSES
TITLE DATECOMPLETED GRADE GRADEDATE
COMPLETEDTITLE
COLLEGE/OTHER SCHOOLS
TITLE DATECOMPLETED GRADE GRADEDATE
COMPLETEDTITLE
39. AWARDS AND COMMENDATIONS:
40. COMMENTS (GOALS, EXPECTATIONS, OBJECTIVES AND OTHER COMMENTS):
PAGE 3 OF 3FOR OFFICIAL USE ONLYPRIVACY SENSITIVE
NAVPERS 1070/6 (REV. 06-07) S/N: 0107-LF-127-5400
18. U.S. CITIZEN:
4.
DIVISION OFFICER'S PERSONNEL RECORD FORM
Privacy Act
AUTHORITY: Authority to request the information in this form is derived from 5 U.S.C. 301, Department Regulations.
PURPOSE: Purpose of this form is to provide the Division Officer with readily accessable data concerning personnel in his/her division.
ROUTINE USES: The information is used by the Division Officer to manage and administer his/her personnel; to determine training needed; to record training completed; to maintain readily accessible data concerning performance, work assignment, and other personnel data to enable the Division Officer to guide and counsel those assigned to him/her.
DISCLOSURE: Disclosure of the following items of information on this form is manadatory; name, rate, last 4 digits of SSN, local address and phone number (if applicable), workcenter/berthing/bunk number (if applicable). Disclosure of the following items of information is voluntary; reenlistment intentions, rate desired, special qualifications, name of spouse, names and ages of children. Other items of informationmay be obtained from member's service record. Failure to provide those required items of information listed above may result in administrative action being taken; no action will be taken if the individual refurses to disclose those voluntary items of information.
32. PREVIOUS DUTY
DATE REPORTED
UNIT
DIVISION
DESCRIPTION OF DUTY:
FOR OFFICIAL USE ONLY
PRIVACY SENSITIVE
PAGE 1 OF 3
NAVPERS 1070/6 (REV. 06-07)
SUPPORTING DIRECTIVE OPNAVINST 3120.32C
S/N: 0107-LF-127-5400
ELIGIBLE FOR NEXT RATE:
HIGH SCHOOL
COLLEGE
DIVISION OFFICER'S PERSONNEL RECORD FORM (CONTINUED)
36. PERFORMANCE TRAITS
EVALUATION
DATE
PROFESSIONAL KNOWLEDGE
QUALITY
OF WORK
EQUAL OPPORTUNITY
MILITARY BEARING/ CHARACTER
PERSONAL JOB ACCOMPLISHMENT/ INITIATIVE
TEAMWORK
LEADERSHIP (OPTIONAL FOR E1-E3)
37. NAVY-WIDE EXAMINATION ELIGIBILITY (ENTER DATE COMPLETED OR OTHER REQUIRED DATA THAT SHOWS COMPLETION)
PERFORMANCE TEST
ENLISTED WARFARE
NLTC
EVALUATION RECOMMENDATION
PFA
CITIZENSHIP
CLEARANCE
PROPER PATH OF ADV
"A" or "C" SCHOOL
REGA
34. ASVAB SCORES
FORM 5/6/7
FORM 8/9/10
FORM 11/12/13
33. FORMAL EDUCATION
35. SHIPBOARD QUALIFICATIONS (DATES QUALIFIED)
PAGE 2 OF 3
FOR OFFICIAL USE ONLY
PRIVACY SENSITIVE
NAVPERS 1070/6 (REV. 06-07)
S/N: 0107-LF-127-5400
DIVISION OFFICER'S PERSONNEL RECORD FORM (CONTINUED)
38. NAVAL EDUCATION RECORD
SERVICE SCHOOLS
TITLE
DATE
COMPLETED
GRADE
GRADE
DATE
COMPLETED
TITLE
MILITARY CORRESPONDENCE COURSES
TITLE
DATE
COMPLETED
GRADE
GRADE
DATE
COMPLETED
TITLE
COLLEGE/OTHER SCHOOLS
TITLE
DATE
COMPLETED
GRADE
GRADE
DATE
COMPLETED
TITLE
PAGE 3 OF 3
FOR OFFICIAL USE ONLY
PRIVACY SENSITIVE
NAVPERS 1070/6 (REV. 06-07)
S/N: 0107-LF-127-5400
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