DA Form 3479-9 "Atc Maintenance Personnel Certification and Related Training Record"

What Is DA Form 3479-9?

This is a military form that was released by the U.S. Department of the Army (DA). The form, often mistakenly referred to as the DD Form 3479-9, is a military form used by and within the U.S. Army. As of today, no separate instructions for the form are provided by the DA.

Form Details:

  • A 3-page document available for download in PDF;
  • The latest version available from the Army Publishing Directorate;
  • Editable, free, and easy to use;

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Download DA Form 3479-9 "Atc Maintenance Personnel Certification and Related Training Record"

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ATC MAINTENANCE PERSONNEL CERTIFICATION
AND RELATED TRAINING RECORD
For use of this form, see TC 3-04.15; the proponent agency is TRADOC.
1. NAME (last, first, MI)
2. GRADE/RANK
SECTION I. QUALIFICATION AND CERTIFICATION RECORD
4. THEORY
5. PERFORMANCE
6. CERTIFICATION
3. SYSTEM/
SUBSYSTEM/
a. Qual
b. Date
c.
a. Qual
b. Date
c.
a. Date
b. Date
2
1
1
EQUIPMENT
Meth
Qual
Init
Meth
Qual
Init
Acquired
Revoked
PREVIOUS EDITIONS ARE OBSOLETE.
Page 1 -
DA FORM 3479-9, OCT 2019
APD AEM v1.00ES
ATC MAINTENANCE PERSONNEL CERTIFICATION
AND RELATED TRAINING RECORD
For use of this form, see TC 3-04.15; the proponent agency is TRADOC.
1. NAME (last, first, MI)
2. GRADE/RANK
SECTION I. QUALIFICATION AND CERTIFICATION RECORD
4. THEORY
5. PERFORMANCE
6. CERTIFICATION
3. SYSTEM/
SUBSYSTEM/
a. Qual
b. Date
c.
a. Qual
b. Date
c.
a. Date
b. Date
2
1
1
EQUIPMENT
Meth
Qual
Init
Meth
Qual
Init
Acquired
Revoked
PREVIOUS EDITIONS ARE OBSOLETE.
Page 1 -
DA FORM 3479-9, OCT 2019
APD AEM v1.00ES
SECTION II. CHANGE OF STATION ANNUAL REVIEW AND VALIDATION RECORD
7. DUTY
8. DATE OF
9. TYPE OF
10. MAINT CHIEF'S
STATION
ACTION
ACTION
SIGNATURE
DA FORM 3479-9, OCT 2019
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APD AEM v1.00ES
SECTION III. RELATED TRAINING RECORD AND EXAMINATION RESULTS
13. TRAINING OR EXAMINATION
11. SYSTEM/
12.
14.
15.
4
SUBSYSTEM/
COURSE
d. Date
3
a.Type
b. Number
c. Results
REMARKS
INIT
EQUIPMENT
NUMBER
Comp
1
Enter RTRN for resident training, PEXAM for performance examination, EXP for experience, CEXAM for concepts (theory)
examination, PC for prior certification, and NTRN for nonresident training.
2
If other than regular certification, enter I for interim.
3
Enter C if action pertains to concepts (theory) or P if action pertains to performance.
4
Enter P for passed or F for failed.
DA FORM 3479-9, OCT 2019
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