DA Form 3436 "Department of the Army Appointment Affidavit - Nonappropriated Funds"

What Is DA Form 3436?

This is a military form that was released by the U.S. Department of the Army (DA) on September 1, 2000. The form, often mistakenly referred to as the DD Form 3436, is a military form used by and within the U.S. Army. As of today, no separate instructions for the form are provided by the DA.

Form Details:

  • A 1-page document available for download in PDF;
  • The latest version available from the Army Publishing Directorate;
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Download an up-to-date fillable DA Form 3436 down below in PDF format or browse hundreds of other DA Forms stored in our online database.

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Download DA Form 3436 "Department of the Army Appointment Affidavit - Nonappropriated Funds"

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DEPARTMENT OF THE ARMY
APPOINTMENT AFFIDAVIT
NONAPPROPRIATED FUNDS
For use of this form, see AR 215-3; the proponent agency is DCS, G1.
POSITION TO WHICH APPOINTED
DATE OF APPOINTMENT (YYYYMMDD)
NAME OF NONAPPROPRIATED FUND
DUTY STATION
, do solemnly swear (or affirm) that:
I,
I do not advocate the overthrow of our constitutional form of government nor am I a member of an
organization that advocates the overthrow of our constitutional form of government. I will not participate in a
strike, or assert the right to strike, against the Government of the United States. I am not a member of any
organization of employees of the Government of the United States that asserts the right to strike against the
Government of the United States.
I have not, nor has anyone acted on my behalf, given, transferred, promised, or paid any consideration for or
in expectation or hope of receiving assistance in securing this appointment.
DATE (YYYYMMDD)
SIGNATURE OF APPOINTEE
DA FORM 3436, SEP 2000
EDITION OF OCT 79 IS OBSOLETE.
APD LC v2.00ES
DEPARTMENT OF THE ARMY
APPOINTMENT AFFIDAVIT
NONAPPROPRIATED FUNDS
For use of this form, see AR 215-3; the proponent agency is DCS, G1.
POSITION TO WHICH APPOINTED
DATE OF APPOINTMENT (YYYYMMDD)
NAME OF NONAPPROPRIATED FUND
DUTY STATION
, do solemnly swear (or affirm) that:
I,
I do not advocate the overthrow of our constitutional form of government nor am I a member of an
organization that advocates the overthrow of our constitutional form of government. I will not participate in a
strike, or assert the right to strike, against the Government of the United States. I am not a member of any
organization of employees of the Government of the United States that asserts the right to strike against the
Government of the United States.
I have not, nor has anyone acted on my behalf, given, transferred, promised, or paid any consideration for or
in expectation or hope of receiving assistance in securing this appointment.
DATE (YYYYMMDD)
SIGNATURE OF APPOINTEE
DA FORM 3436, SEP 2000
EDITION OF OCT 79 IS OBSOLETE.
APD LC v2.00ES