DA Form 4836 Oath of Extension of Enlistment or Reenlistment

What Is DA Form 4836?

DA Form 4836, Oath of Extension of Enlistment for Reenlistment is a form used by members of the Army National Guard (ARNG) or the United States Army Reserve (USAR) that have expressed a desire to extend their current enlistment or reenlistment agreement.

The latest edition of the oath - sometimes incorrectly referred to as the DD Form 4836 - was released by the Department of the Army (DA) in March 2018. An up-to-date DA Form 4836 fillable version is available for digital filing and download below or can be found through the Army Publishing Directorate website.

The DA 4836 is approved for unlimited distribution and public release. Providing the required information and signing the completed form signifies a wish to extend the current term of service, benefits and contractual provisions of the enlistment or reenlistment agreement.

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OATH OF EXTENSION OF ENLISTMENT OR REENLISTMENT
For use of this form, see AR 140-111 (USAR), and NGR 600-200 (ARNG)
the proponent agencies are DCS, G-1 and Chief, National Guard Bureau.
DATA REQUIRED BY THE PRIVACY ACT 1974 (5 USC 552a)
Title 10, USC, Sec 509, Title 32, USC Sec 302(c),
AUTHORITY:
To be used when a member of the ARNG or USAR extends a current enlistment/reenlistment
PRINCIPLE PURPOSE(s):
agreement (Chapter 7 NGR 600-200/Chapter 3, AR 140-111)
Confirmation of obligation and participation requirements, and as a basis for non-participation
ROUTINE USES:
action if the individual fails to meet participation requirements.
Voluntary, however if member refuses to provide the requested information and sign the form,
DISCLOSURE:
the member will be released upon normal ETS date. A copy of this form will be retained by the individual.
EXTENSION PROCESSING DATA
1. THIS IS AN EXTENSION OF ENLISTMENT/REENLISTMENT OF A CURRENT MEMBER OF
ARMY NATIONAL GUARD AND A
A TROOP PROGRAM UNIT OF THE
USAR-ACTIVE GUARD/RESERVE
RESERVE OF THE ARMY
US ARMY RESERVE
INDIVIDUAL READY RESERVE
INDIVIDUAL MOBILIZATION AUGMENTEE
2. NAME (Last, First, MI)
4. DATE (YYYYMMDD)
3. GRADE
5. UNIT OF ASSIGNMENT (Include unit designation, address, UIC and ZIP Code)
6. CURRENT (Latest) DD FORM 4-SERIES
a. DATE (YYYYMMDD)
b. TERM OF SERVICE (Years)
c. NUMBER OF EXTENSIONS PREVIOUSLY GRANTED TO CURRENT DD FORM 4
d. ETS
e. BASIC PAY ENTRY DATE (YYYYMMDD)
7. PROVISIONS AND COMPUTATION OF THIS EXTENSION
(Day)
(Month)
(Year(s))
a. CURRENT ETS (Extracted from item 6d above)
b. PERIOD OF THIS EXTENSION
c. NEW ETS (Sum of a and b above)
8. AUTHORITY AND REASON FOR THIS EXTENSION
TABLE
RULE
(AR 140-111)
(NGR 600-200)
OATH OF EXTENSION
I do hereby acknowledge this
day of
,
, that I have voluntarily extended my current
enlistment/reenlistment agreement of
day of
,
, for the period indicated
in item 7b above. I agree to remain a member of the (Army National Guard of
and as a Reserve of the Army) (United States Army Reserve ) during the entire period of this extension. I understand this extension will
establish my Expiration Term of Service (ETS) date as shown in item 7c.
SIGNATURE
DATE (YYYYMMDD)
OFFICER CERTIFICATION
day of
I certify that the above Oath of Extension was subscribed and duly sworn before me on this
,
TYPED NAME, GRADE, AND BRANCH OF COMMISSIONED OFFICER*
SIGNATURE OF COMMISSIONED OFFICER*
* Or warrant officer, or any other person so designated to administer oaths under State law, for member of the Army National Guard
NOTE
ARNG: Original to soldier, 1 copy to State AG (Title 10 AGR Soldiers are responsible for sending a copy to State AG for PERMS).
USAR: (Unit member) Original to appropriate Regional Support Command (RSC) to HRC-Ft. Knox, AHRC-EPF-RR, 1600 Spearhead Division Avenue,
Ft. Knox, KY 40122, 1 copy attached to current DD Form 4-series and filed in AMHRR, 1 copy to Defense Joint Military Systems (DJMS),
copy for unit member.
(IRR or IMA member) Original to HRC-Ft. Knox, AHRC-EPF-RR, 1600 Spearhead Division Avenue, Ft. Knox, KY 401221 copy for IRR or IMA member.
(AGR member) Original to HRC-Ft. Knox, AHRC-EPF-RR, 1600 Spearhead Division Avenue, Ft. Knox, KY 401221, 1 copy for AGR member.
DA FORM 4836, MAR 2018
APD LC v1.00ES
PREVIOUS EDITIONS ARE OBSOLETE.
OATH OF EXTENSION OF ENLISTMENT OR REENLISTMENT
For use of this form, see AR 140-111 (USAR), and NGR 600-200 (ARNG)
the proponent agencies are DCS, G-1 and Chief, National Guard Bureau.
DATA REQUIRED BY THE PRIVACY ACT 1974 (5 USC 552a)
Title 10, USC, Sec 509, Title 32, USC Sec 302(c),
AUTHORITY:
To be used when a member of the ARNG or USAR extends a current enlistment/reenlistment
PRINCIPLE PURPOSE(s):
agreement (Chapter 7 NGR 600-200/Chapter 3, AR 140-111)
Confirmation of obligation and participation requirements, and as a basis for non-participation
ROUTINE USES:
action if the individual fails to meet participation requirements.
Voluntary, however if member refuses to provide the requested information and sign the form,
DISCLOSURE:
the member will be released upon normal ETS date. A copy of this form will be retained by the individual.
EXTENSION PROCESSING DATA
1. THIS IS AN EXTENSION OF ENLISTMENT/REENLISTMENT OF A CURRENT MEMBER OF
ARMY NATIONAL GUARD AND A
A TROOP PROGRAM UNIT OF THE
USAR-ACTIVE GUARD/RESERVE
RESERVE OF THE ARMY
US ARMY RESERVE
INDIVIDUAL READY RESERVE
INDIVIDUAL MOBILIZATION AUGMENTEE
2. NAME (Last, First, MI)
4. DATE (YYYYMMDD)
3. GRADE
5. UNIT OF ASSIGNMENT (Include unit designation, address, UIC and ZIP Code)
6. CURRENT (Latest) DD FORM 4-SERIES
a. DATE (YYYYMMDD)
b. TERM OF SERVICE (Years)
c. NUMBER OF EXTENSIONS PREVIOUSLY GRANTED TO CURRENT DD FORM 4
d. ETS
e. BASIC PAY ENTRY DATE (YYYYMMDD)
7. PROVISIONS AND COMPUTATION OF THIS EXTENSION
(Day)
(Month)
(Year(s))
a. CURRENT ETS (Extracted from item 6d above)
b. PERIOD OF THIS EXTENSION
c. NEW ETS (Sum of a and b above)
8. AUTHORITY AND REASON FOR THIS EXTENSION
TABLE
RULE
(AR 140-111)
(NGR 600-200)
OATH OF EXTENSION
I do hereby acknowledge this
day of
,
, that I have voluntarily extended my current
enlistment/reenlistment agreement of
day of
,
, for the period indicated
in item 7b above. I agree to remain a member of the (Army National Guard of
and as a Reserve of the Army) (United States Army Reserve ) during the entire period of this extension. I understand this extension will
establish my Expiration Term of Service (ETS) date as shown in item 7c.
SIGNATURE
DATE (YYYYMMDD)
OFFICER CERTIFICATION
day of
I certify that the above Oath of Extension was subscribed and duly sworn before me on this
,
TYPED NAME, GRADE, AND BRANCH OF COMMISSIONED OFFICER*
SIGNATURE OF COMMISSIONED OFFICER*
* Or warrant officer, or any other person so designated to administer oaths under State law, for member of the Army National Guard
NOTE
ARNG: Original to soldier, 1 copy to State AG (Title 10 AGR Soldiers are responsible for sending a copy to State AG for PERMS).
USAR: (Unit member) Original to appropriate Regional Support Command (RSC) to HRC-Ft. Knox, AHRC-EPF-RR, 1600 Spearhead Division Avenue,
Ft. Knox, KY 40122, 1 copy attached to current DD Form 4-series and filed in AMHRR, 1 copy to Defense Joint Military Systems (DJMS),
copy for unit member.
(IRR or IMA member) Original to HRC-Ft. Knox, AHRC-EPF-RR, 1600 Spearhead Division Avenue, Ft. Knox, KY 401221 copy for IRR or IMA member.
(AGR member) Original to HRC-Ft. Knox, AHRC-EPF-RR, 1600 Spearhead Division Avenue, Ft. Knox, KY 401221, 1 copy for AGR member.
DA FORM 4836, MAR 2018
APD LC v1.00ES
PREVIOUS EDITIONS ARE OBSOLETE.

Download DA Form 4836 Oath of Extension of Enlistment or Reenlistment

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How to Fill Out DA Form 4836?

An overview of the Oath of Extension of Enlistment for Reenlistment Form and filing guidelines can be found in the Army Regulation 140-111, U.S. Army Reserve Reenlistment Program, released in March 2018. DA Form 4836 instructions are as follows:

  1. Box 1 requires the applicant to select their branch of service from the two provided options:
    • A Troop Program Unit of the U.S. Army Reserve for members of TPU or Select Reserve;
    • Individual Ready Reserve for members of the IRR (Control Group) (AT), (Reinforcement) or (IMA);
    • AGR participants must type in "AGR" in the space above the words "Individual Ready Reserve".
  2. The applicant has to provide their name, grade, the date of filing the form and their unit of assignment in Boxes 2 through 5.
  3. Box 6 requires the applicant to copy the information from their latest DD Form 4, including its date, the term of service, the number of extensions, ETS and basic pay entry grade.
  4. Box 7 requires information on provisions and a computation of the extension in days, months and years.
  5. Box 8 requires to provide the authority and reason for the extension: the table and rule of either AR 140-111 or NGR 600-200.
  6. The next section of the DA 4836 - the Oath of Extension - provides the text of the oath itself and requires the applicant to correctly complete all fillable lines
  7. The officer certification part must be completed and signed by a designated authority (a commissioned officer, a warrant officer or other). The officer's signature verifies that the Oath was administered and duly sworn before them on a certain date.