M
TAB
TAB
TAB
ARMY RESERVE REENLISTMENT DATA
For use of this form, see AR 140-111; the proponent agency is RCPAC
1. NAME (Last, first, MI)
2. GRADE
3. DATE ASSIGNED
4. ETS
5. UNIT/DUTY SECTION
6. DOR
7. CONTRACT/DATE
8. PEBD
9. SUPERVISORS
10. PMOS/CMF
11. SMOS/CMF
12. DMOS/CMFH
13. REENLISTMENT STATUS (For commander's use only)
eligible
recommended
waiver recommended
not recommended
waiver not recommended
not eligible
bar to reenlistment initiated
waiver initiated
14.
DEPENDENTS (Include name of spouse and number and type of other
17. CIVILIAN OCCUPATION AND BACKGROUND
dependents)
15. HOME ADDRESS (Include Zip Code)
18. MILITARY TRAINING AND BACKGROUND
16. HOME TELEPHONE NUMBER (Include Area Code)
19. PMOS
20. EES AND DATE
21. SGLI
22. COMMENTS
DA FORM 4644-R, DEC 1982
APD LC v1.00
EDITION OF 1 AUG 77 IS OBSOLETE
M
TAB
TAB
TAB
ARMY RESERVE REENLISTMENT DATA
For use of this form, see AR 140-111; the proponent agency is RCPAC
1. NAME (Last, first, MI)
2. GRADE
3. DATE ASSIGNED
4. ETS
5. UNIT/DUTY SECTION
6. DOR
7. CONTRACT/DATE
8. PEBD
9. SUPERVISORS
10. PMOS/CMF
11. SMOS/CMF
12. DMOS/CMFH
13. REENLISTMENT STATUS (For commander's use only)
eligible
recommended
waiver recommended
not recommended
waiver not recommended
not eligible
bar to reenlistment initiated
waiver initiated
14.
DEPENDENTS (Include name of spouse and number and type of other
17. CIVILIAN OCCUPATION AND BACKGROUND
dependents)
15. HOME ADDRESS (Include Zip Code)
18. MILITARY TRAINING AND BACKGROUND
16. HOME TELEPHONE NUMBER (Include Area Code)
19. PMOS
20. EES AND DATE
21. SGLI
22. COMMENTS
DA FORM 4644-R, DEC 1982
APD LC v1.00
EDITION OF 1 AUG 77 IS OBSOLETE
23. RECORD OF INTERVIEWS
a. INTERVIEW AND DATE
b. REMARKS
c. INTERVIEWER
REVERSE OF DA FORM 4644-R, DEC 1982
APD LC v1.00
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