DA Form 7782 "U.S. Army Nonappropriated Fund Pre-appointment Certification Statement for Selective Service Registration"

What Is DA Form 7782?

This is a military form that was released by the U.S. Department of the Army (DA) on August 1, 2019. The form, often mistakenly referred to as the DD Form 7782, 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 1-page document available for download in PDF;
  • The latest version available from the Army Publishing Directorate;
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  • Fill out the form in our online filing application.

Download an up-to-date fillable DA Form 7782 down below in PDF format or browse hundreds of other DA Forms stored in our online database.

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Download DA Form 7782 "U.S. Army Nonappropriated Fund Pre-appointment Certification Statement for Selective Service Registration"

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U.S. ARMY NONAPPROPRIATED FUND PRE-APPOINTMENT CERTIFICATION
STATEMENT FOR SELECTIVE SERVICE REGISTRATION
For use of this form, see AR 215-3; the proponent agency is DCS, G-1.
If you are a male born after 31 December 1959, are at least 18 years of age, and want to be employed by the
IMPORTANT NOTICE
Department of the Army, Nonappropriated Fund (NAF), you must be registered with the Selective Service
System, unless you meet certain exemptions under Selective Service law. If you are required to register, but
knowingly and willingly fail to do so, you are ineligible for appointment by executive agencies of the Federal
Government.
PRIVACY ACT STATEMENT
Data Required by the Privacy Act of 1974 (5 U.S.C 552a)
AUTHORITY:
5 U.S.C. Section 3328 and AR 215-3.
We need information on your registration with the Selective Service System to see whether you are affected by the
PRINCIPAL PURPOSE:
laws we must follow in deciding who may be employed by NAF.
ROUTINE USES:
This form is used for the applicant to self-certify Selective Service registration. In addition to those disclosures
generally permitted under 5 U.S.C. 552a (b) (Privacy Act), the information contained therein may specifically be
disclosed outside the Department of Defense as routine pursuant to 5 U.S.C. 552a (b) 3 as follows: Information may
be disclosed to appropriate federal agencies, such as Department of Labor and the Equal Employment Opportunity
Commission, to resolve and/or adjudicate matters falling within their jurisdiction. Records
may also be disclosed to labor organizations in response to requests for names of employees and
identifying information.
Completion of this form is voluntary; however, failure to complete the form may result in no further consideration
DISCLOSURE:
of an applicant. In addition, incomplete, misleading, or untruthful information provided on the form may result in
delays in processing the form for employment, or termination of employment.
If you are under age 26 and have not registered as required, you should register promptly at a United States Post
NON REGISTRANTS
Office, or consular office if you are outside the United States.
UNDER AGE 26:
If you were born in 1960 or later, and are 26 years of age or older, and were required to register but did not do
NON REGISTRANTS
so, you can no longer register under Selective Service law. Accordingly, you are not eligible for appointment to a
AGE 26 OR OVER
NAF position unless you can prove to the Garrison Commander or equivalent that your failure to register was
neither knowing nor willful. The determination of whether a failure to register was neither knowing nor willful
will be made on a case-by-case basis with the approval of the Garrison Commander or equivalent. You may
request a decision through your servicing Human Resources Division that was considering you for employment
by returning this statement with your written request for a determination by the Garrison Commander or
equivalent and any explanation and documentation you wish to furnish to prove that your failure to register was
neither knowing nor willful.
PLEASE COMPLETE, SIGN, AND DATE BELOW IN INK. YOUR SIGNATURE * INDICATES YOU HAVE READ AND UNDERSTAND
THE ABOVE.
CERTIFICATION OF REGISTRATION STATUS
REGISTRATION NUMBER
DATE REGISTERED
I CERTIFY I AM REGISTERED WITH THE SELECTIVE SERVICE SYSTEM
I CERTIFY I HAVE NOT REACHED MY 18TH
I CERTIFY I AM NOT REGISTERED WITH THE SELECTIVE SERVICE
BIRTHDAY AND UNDERSTAND I AM REQUIRED BY
LAW TO REGISTER AT THAT TIME.
I CERTIFY I HAVE BEEN DETERMINED BY THE SELECTIVE SERVICE SYSTEM TO BE EXEMPT FROM THE REGISTRATION
PROVISIONS OF SELECTIVE SERVICE LAW.
PLEASE PRINT OR TYPE YOUR NAME
(PLEASE USE INK)
SIGNATURE
(PLEASE USE INK)
DATE SIGNED (YYYYMMDD)
DA FORM 7782, AUG 2019
APD LC v1.00ES.
U.S. ARMY NONAPPROPRIATED FUND PRE-APPOINTMENT CERTIFICATION
STATEMENT FOR SELECTIVE SERVICE REGISTRATION
For use of this form, see AR 215-3; the proponent agency is DCS, G-1.
If you are a male born after 31 December 1959, are at least 18 years of age, and want to be employed by the
IMPORTANT NOTICE
Department of the Army, Nonappropriated Fund (NAF), you must be registered with the Selective Service
System, unless you meet certain exemptions under Selective Service law. If you are required to register, but
knowingly and willingly fail to do so, you are ineligible for appointment by executive agencies of the Federal
Government.
PRIVACY ACT STATEMENT
Data Required by the Privacy Act of 1974 (5 U.S.C 552a)
AUTHORITY:
5 U.S.C. Section 3328 and AR 215-3.
We need information on your registration with the Selective Service System to see whether you are affected by the
PRINCIPAL PURPOSE:
laws we must follow in deciding who may be employed by NAF.
ROUTINE USES:
This form is used for the applicant to self-certify Selective Service registration. In addition to those disclosures
generally permitted under 5 U.S.C. 552a (b) (Privacy Act), the information contained therein may specifically be
disclosed outside the Department of Defense as routine pursuant to 5 U.S.C. 552a (b) 3 as follows: Information may
be disclosed to appropriate federal agencies, such as Department of Labor and the Equal Employment Opportunity
Commission, to resolve and/or adjudicate matters falling within their jurisdiction. Records
may also be disclosed to labor organizations in response to requests for names of employees and
identifying information.
Completion of this form is voluntary; however, failure to complete the form may result in no further consideration
DISCLOSURE:
of an applicant. In addition, incomplete, misleading, or untruthful information provided on the form may result in
delays in processing the form for employment, or termination of employment.
If you are under age 26 and have not registered as required, you should register promptly at a United States Post
NON REGISTRANTS
Office, or consular office if you are outside the United States.
UNDER AGE 26:
If you were born in 1960 or later, and are 26 years of age or older, and were required to register but did not do
NON REGISTRANTS
so, you can no longer register under Selective Service law. Accordingly, you are not eligible for appointment to a
AGE 26 OR OVER
NAF position unless you can prove to the Garrison Commander or equivalent that your failure to register was
neither knowing nor willful. The determination of whether a failure to register was neither knowing nor willful
will be made on a case-by-case basis with the approval of the Garrison Commander or equivalent. You may
request a decision through your servicing Human Resources Division that was considering you for employment
by returning this statement with your written request for a determination by the Garrison Commander or
equivalent and any explanation and documentation you wish to furnish to prove that your failure to register was
neither knowing nor willful.
PLEASE COMPLETE, SIGN, AND DATE BELOW IN INK. YOUR SIGNATURE * INDICATES YOU HAVE READ AND UNDERSTAND
THE ABOVE.
CERTIFICATION OF REGISTRATION STATUS
REGISTRATION NUMBER
DATE REGISTERED
I CERTIFY I AM REGISTERED WITH THE SELECTIVE SERVICE SYSTEM
I CERTIFY I HAVE NOT REACHED MY 18TH
I CERTIFY I AM NOT REGISTERED WITH THE SELECTIVE SERVICE
BIRTHDAY AND UNDERSTAND I AM REQUIRED BY
LAW TO REGISTER AT THAT TIME.
I CERTIFY I HAVE BEEN DETERMINED BY THE SELECTIVE SERVICE SYSTEM TO BE EXEMPT FROM THE REGISTRATION
PROVISIONS OF SELECTIVE SERVICE LAW.
PLEASE PRINT OR TYPE YOUR NAME
(PLEASE USE INK)
SIGNATURE
(PLEASE USE INK)
DATE SIGNED (YYYYMMDD)
DA FORM 7782, AUG 2019
APD LC v1.00ES.