DA Form 2981 Application for Determination of Moral Eligibility for Induction

DA Form 2981 - also known as the "Application For Determination Of Moral Eligibility For Induction" - is a Military form issued and used by the United States Department of the Army.

The form - often mistakenly referred to as the DD form 2981 - was last revised on June 1, 1965. Download an up-to-date fillable PDF version of the DA 2981 below or request a copy through the chain of command.

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APPLICATION FOR DETERMINATION OF MORAL ELIGIBILITY
DATE OF APPLICATION
FOR INDUCTION
For use of this form, see AR 601-270; the proponent agency is DCS, G-1
TO:
FROM:
1. NAME
3. SELECTIVE SERVICE NO.
2. ADDRESS (Street Number, City and State)
4. NATURE OF OFFENSES (Give detailed description, including DATE of each offense and AGE at time of offenses. List as A, B, C.)
5.
COMPLETE APPLICABLE ITEMS
(a Through d Below)
REFERRING TO OFFENSES AS 4A, 4B, 4C
a. CITY AND STATE IN WHICH TRIED, NAME OF COURT, AND DATE OF TRIAL
b. DISPOSITION OR SENTENCES IMPOSED
c. THE OFFENSES ARE PUNISHABLE UNDER THE LAW OF THE STATE
DA FORM 2981, JUN 1965
REPLACES DA FORM 2281-R, 1 FEB 62, WHICH IS OBSOLETE.
Page 1 of 2
APD LC v1.03ES
APPLICATION FOR DETERMINATION OF MORAL ELIGIBILITY
DATE OF APPLICATION
FOR INDUCTION
For use of this form, see AR 601-270; the proponent agency is DCS, G-1
TO:
FROM:
1. NAME
3. SELECTIVE SERVICE NO.
2. ADDRESS (Street Number, City and State)
4. NATURE OF OFFENSES (Give detailed description, including DATE of each offense and AGE at time of offenses. List as A, B, C.)
5.
COMPLETE APPLICABLE ITEMS
(a Through d Below)
REFERRING TO OFFENSES AS 4A, 4B, 4C
a. CITY AND STATE IN WHICH TRIED, NAME OF COURT, AND DATE OF TRIAL
b. DISPOSITION OR SENTENCES IMPOSED
c. THE OFFENSES ARE PUNISHABLE UNDER THE LAW OF THE STATE
DA FORM 2981, JUN 1965
REPLACES DA FORM 2281-R, 1 FEB 62, WHICH IS OBSOLETE.
Page 1 of 2
APD LC v1.03ES
d.
INCLUSIVE DATES OF:
CONFINEMENT
PAROLE
PROBATION
6.
COMPLETE EMPLOYMENT RECORD
(Including Periods of Unemployment)
NAME OF EMPLOYER
LOCATION
JOB TITLE
INCLUSIVE DATES
7. INFORMATION WAS OBTAINED B Y
INTERVIEW OF INDIVIDUAL
VERBALLY FROM CIVIL AUTHORITIES
REPORT FROM CIVIL AUTHORITIES
8. EDUCATIONAL LEVEL
9a. AQB SCORES OF 90 OR HIGHER
10.
PHYSICAL PROFILE
P
U
L
H
E
S
11. AFQT SCORE
9b. GT SCORE
12. REMARKS (Extenuating circumstances, brief statement of registrant's potential value in the service when composite medical, mental, and
moral characteristics are considered)
13. RECOMMEND:
SELECTIVE SERVICE SYMBOL
WAIVER BE GRANTED
WAIVER NOT BE GRANTED
14. TYPED NAME AND GRADE
15. SIGNATURE
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DA FORM 2981, JUN 1965
APD LC v1.03ES

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