Professional Documents
Culture Documents
SECTION I – Assignment Information SECTION II – Security Data SECTION III – Service Data SECTION IV – Personal/Family Data
OS/Deployment Combat Duty #S - 1 PSI Status Fld Det PS Stat NONE BASD 20050623 PEBD 20050623 BESD Date of Birth 19850703 Birthplace CA
#L - 0 PSI Invest INIT 20050606 ETS 20120222 DIEMS 20050606 Reenl Elig/Prohib 10 Country of Citz US Sex/Race
Start-End Date CT MO TS TT FEMALE / BLACK
# M PSI Invest Compl # Days Lost AGCM Dt 20080623 AGCM Elig Dt 20110623
20071112-20081025 IZ 12 1 C No of Dependent
C 1 12
SECTION V – Foreign Language PVT PV2 PFC SPC - CPL Adults/Children Religion
O 0 0 DOR 20050623 20051117 20061201 20070601 0/3 BAPT CH OTHER
Language Read Listen Speak
R 0 0 SGT SSG SFC MSG - 1SG
Marital Status Spouse Birthplace/Citz
TOT: 12 DOR SINGLE
DOR SGM - CSM
Dwell Time DEROS PULHES Height/Weight
20081025
SECTION VII – CIVILIAN Education 111111 68/163
Start
DROS Level Completed 4 YRS HS Yr 2004 EFMP Dt #Cmd Sponsored 1
Month - Days 13 Mo 29 Days DESG HIGH SCHOOL DIPLOMA
20090208 APFT Dt P/F Score
Institution Yr Physical Category
Date Dependents Arrived OS DLAB Discipline A //
PMOS 92G SQI O SECTION VI – Military Education Institution Yr
Discipline Last Physical Exam MMRB Results/Dt
SMOS PDSI/YRMO / MEL/MES NONE/NONE
Number Of Semester Hours Completed 0 20090223
Bonus MOS ASI 00 Course Year
Technical Certification Home of Record
Bonus Enlist Elig Dt COLORADO SPRINGS , CO
Promotion Points/YRMO 350 990906 Course Name Dt Certified Dt Expires
Mailing Address 1ST DE, FT LEWIS, WA, 98433-0000
Prev Promotion Points/YRMO
Prom Seq# Prom Select Dt
SECTION VIII – Awards and Decorations Mil Spouse SSN/MPC
Promotion MOS 92G2
Svc Comp / DoD
ASVAB Test # / Dt ASVAB 03 / 20040201 AAM 2
AGCM 1 Emergency Data Verified Date 20091209
GT 98 ELEC 90 FOOD 89 TECH 95 NDSM 1
ADMIN 98 FA 92 COMMO 92 GWTSM
ASR
1
1
SECTION X - Remarks
CMBT 91 MECH 84 MAINT 87 HIV YRMO 200902
Delay Separation Reason RGMT AFL CORPQM
AEA / Dt L/ Date Last Photo
Flag Code Flag Start Dt Flag Expiration Dt
BMQ