DA Form 2673-R Classification Questionnaire for Enlisted Retained Personnel

DA Form 2673-R - also known as the "Classification Questionnaire For Enlisted Retained Personnel" - 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 2673-R - was last revised on May 1, 1982. Download an up-to-date fillable PDF version of the DA 2673-R below or request a copy through the chain of command.

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CLASSIFICATION QUESTIONNAIRE FOR ENLISTED RETAINED PERSONNEL
For use of this form, see AR 190-8; the proponent agency is PMG.
NAME (Last, first, MI)
GRADE
SERVICE NUMBER
DATE OF BIRTH
NATIONALITY
POWER SERVED
DATE OF CAPTURE
LENGTH OF MILITARY SERVICE
RELIGION
INTERNMENT SERIAL NUMBER
EDUCATION (Check highest school attended)
LANGUAGES
EXCELLENT
GOOD
FAIR
PRIMARY SCHOOL
HIGH SCHOOL
UNIVERSITY OR COLLEGE
PRINCIPAL ASSIGNMENTS IN MILITARY SERVICE
TIME
STATION
LOCATION
SPECIFIC MEDICAL DUTIES
(Months)
VERIFICATION
DOCUMENTARY EVIDENCE
DATE VERIFIED
VERIFIED:
IDENTITY CARD
EPW PROCESSING CO
CAMP COMMANDER
NONE
AREA COMMANDER
MEDICAL ASSIGNMENTS SINCE CAPTURE
STATION
LOCATION
SPECIFIC ASSIGNMENTS
PRESENT MEDICAL ASSIGNMENT
MEDICAL CLASSIFICATION
REMARKS
DATE
NAME (Typed or Printed)
SIGNATURE
DA FORM 2673-R, MAY 1982
EDITION OF 1 JUL 63 IS OBSOLETE.
APD LC v1.01ES
CLASSIFICATION QUESTIONNAIRE FOR ENLISTED RETAINED PERSONNEL
For use of this form, see AR 190-8; the proponent agency is PMG.
NAME (Last, first, MI)
GRADE
SERVICE NUMBER
DATE OF BIRTH
NATIONALITY
POWER SERVED
DATE OF CAPTURE
LENGTH OF MILITARY SERVICE
RELIGION
INTERNMENT SERIAL NUMBER
EDUCATION (Check highest school attended)
LANGUAGES
EXCELLENT
GOOD
FAIR
PRIMARY SCHOOL
HIGH SCHOOL
UNIVERSITY OR COLLEGE
PRINCIPAL ASSIGNMENTS IN MILITARY SERVICE
TIME
STATION
LOCATION
SPECIFIC MEDICAL DUTIES
(Months)
VERIFICATION
DOCUMENTARY EVIDENCE
DATE VERIFIED
VERIFIED:
IDENTITY CARD
EPW PROCESSING CO
CAMP COMMANDER
NONE
AREA COMMANDER
MEDICAL ASSIGNMENTS SINCE CAPTURE
STATION
LOCATION
SPECIFIC ASSIGNMENTS
PRESENT MEDICAL ASSIGNMENT
MEDICAL CLASSIFICATION
REMARKS
DATE
NAME (Typed or Printed)
SIGNATURE
DA FORM 2673-R, MAY 1982
EDITION OF 1 JUL 63 IS OBSOLETE.
APD LC v1.01ES

Download DA Form 2673-R Classification Questionnaire for Enlisted Retained Personnel

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