CTMD Form 1-10 "Sign-In Roster" - Connecticut

What Is CTMD Form 1-10?

This is a legal form that was released by the Connecticut Military Department - a government authority operating within Connecticut. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on April 1, 2013;
  • The latest edition provided by the Connecticut Military Department;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of CTMD Form 1-10 by clicking the link below or browse more documents and templates provided by the Connecticut Military Department.

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Download CTMD Form 1-10 "Sign-In Roster" - Connecticut

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CTMD 1-10
(Rev 4/2013)
CONNECTICUT MILITARY DEPARTMENT
INSTRUCTIONS FOR
SIGN-IN ROSTER
PURPOSE: To track training requirements of individual personnel in the active membership in the
units of the Armed Forces of the State of Connecticut.
USE: Sign-in rosters must be used for all mandatory training events required by the Connecticut
Military Department as prescribed by The Adjutant General. Training events listed on unit training
schedules also require a sign-in roster in order to document attendance of individual members.
INSTRUCTIONS: The training section should complete the top section of the form (Unit, Date,
Subject & Instructor). Each individual in attendance enters the appropriate information on each line.
CERTIFICATION:
At the conclusion of training, the instructor signs the roster, certifying the
personnel listed were present.
SEND APPLICATIONS & SUPPORTING DOCUMENTATION TO:
Connecticut Military Department
Military Administrative Officer
360 Broad Street Rm. 113
Hartford, Connecticut, 06105-3795
860-524-4968 (Phone)
860 -548-3239 (Alt Phone)
860-493-2721 (fax)
CTMD 1-10
(Rev 4/2013)
CONNECTICUT MILITARY DEPARTMENT
INSTRUCTIONS FOR
SIGN-IN ROSTER
PURPOSE: To track training requirements of individual personnel in the active membership in the
units of the Armed Forces of the State of Connecticut.
USE: Sign-in rosters must be used for all mandatory training events required by the Connecticut
Military Department as prescribed by The Adjutant General. Training events listed on unit training
schedules also require a sign-in roster in order to document attendance of individual members.
INSTRUCTIONS: The training section should complete the top section of the form (Unit, Date,
Subject & Instructor). Each individual in attendance enters the appropriate information on each line.
CERTIFICATION:
At the conclusion of training, the instructor signs the roster, certifying the
personnel listed were present.
SEND APPLICATIONS & SUPPORTING DOCUMENTATION TO:
Connecticut Military Department
Military Administrative Officer
360 Broad Street Rm. 113
Hartford, Connecticut, 06105-3795
860-524-4968 (Phone)
860 -548-3239 (Alt Phone)
860-493-2721 (fax)
CTMD 1-10
(Rev 4/2013)
CONNECTICUT MILITARY DEPARTMENT
SIGN-IN ROSTER
UNIT:
DATE:
SUBJECT:
INSTRUCTOR:
No.
PRINTED NAME
RANK
SIGNATURE
1
2
3
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5
6
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9
10
11
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19
20
Signature of Instructor
CTMD 1-10
(Rev 4/2013)
CONNECTICUT MILITARY DEPARTMENT
SIGN-IN ROSTER
No.
PRINTED NAME
RANK
SIGNATURE
21
22
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25
26
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29
30
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43
Signature of Instructor
CTMD 1-10
(Rev 4/2013)
CONNECTICUT MILITARY DEPARTMENT
SIGN-IN ROSTER
No.
PRINTED NAME
RANK
SIGNATURE
44
45
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47
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49
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Signature of Instructor
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