DA Form 3434 Notification of Personnel Action - Nonappropriated Funds Employee Page 4

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NOTIFICATION OF PERSONNEL ACTION - NONAPPROPRIATED FUNDS EMPLOYEE
For use of this form, see AR 215-3; the proponent agency is DCS, G1.
1. NAME (CAPS)(Last, first, MI, (Mr. or Ms.)
3. DATE OF BIRTH (Yr, Mo,
4. SSN
2. CITIZENSHIP (1 - U.S.;
2 - Non-U.S. Citizen;
Day)
3 - Local National)
7a. SCD - LEAVE
7b. SCD - LS
5. MILITARY STATUS (1 - ODM;
6. DEPENDENT STATUS (1 - Military;
2 - Retired; 3 - None)
2 - Civilian; 3 - None)
8. VETERAN'S PREFERENCE?
9. SPOUSE EMPLOYMENT PREFERENCE?
10. FAIR LABOR STANDARD ACT (FLSA)
Y - YES
N - NO
Y - YES
N - NO
(1 - Exempt; 2 - Nonexempt)
11a. CODE
11b. NATURE OF ACTION (Including Employment Category)
12. EFFECTIVE DATE (Yr,
Mo, Day)
13. FROM (Position Title, Number, and Authorization)
14. PAY PLAN
15a. GRADE OR
15b. STEP OR RATE
16. ANNUAL SALARY OR
AND OCC. CODE
PAY LEVEL
(NA; NL; NS only)
HOURLY RATE
17a. CODE/NAME AND LOCATION OF EMPLOYING NAFI
17b. STANDARD NAFI NUMBER
19. PAY PLAN
20a. GRADE OR
20b. STEP OR RATE
21. ANNUAL SALARY OR
18. TO (Position Title, Number, and Authorization)
AND OCC. CODE
PAY LEVEL
HOURLY RATE
(NA; NL; NS only)
22a. CODE/NAME AND LOCATION OF EMPLOYING NAFI
22b. STANDARD NAFI NUMBER
23. DUTY STATION
24. LOCATION CODE
25. REMARKS
26. SERVICING CPO (Complete Address)
27. SIGNATURE (Or other authorization) AND TITLE
Designated Appointing Official
28. DATE
DA FORM 3434, JUN 1993
EDITION OF FEB 89 IS USABLE UNTIL EXHAUSTED
APD LC v4.00ES
4 - PERSONNEL FOLDER COPY

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