for use of this form , see usmepcom reg 680-3 for official use only. request for examination . the information provided constitutes an official statement. omb no. 0704-0173 omb approval expires sep 30, 2021. a. service processing for. 1. social security number 3. current address (street, city, county, state, country, zip code) b. prior service. c.
data block on the UMF 680-3A-E is accurately completed in its entirety using blue, black or blue/black ink only inclusive of the applicant’s legible and legal signature (comparable to how a check…
fully completed and certified UMF 680-3A -E must be presented before requested examination is administered (aptitude and medical). The original form must include the reverse-side Privacy Act Statement. The form is to be completed in its entirety using.
Click the orange Get Form option to begin editing. Turn on the Wizard mode on the top toolbar to have extra suggestions. Fill every fillable area. Make sure the details you fill in Usmepcom Form 680 3a E is updated and accurate. Add the date to the sample with the Date tool. Select the Sign icon and create an e-signature. You will find three available options typing, drawing, or uploading one.
FOR USE OF THIS FORM , SEE USMEPCOM REG 680-3 FOR OFFICIAL USE ONLY. REQUEST FOR EXAMINATION . THE INFORMATION PROVIDED CONSTITUTES AN OFFICIAL STATEMENT. OMB No. 0704-0173 OMB approval expires . PRIVACY ACT STATEMENT: AUTHORITY: Sections 505, 508, 510, and 3012 of Title 10 U.S. Code and Executive Order 9397. PRINCIPAL PURPOSE:, PROCEDURES FOR COMPLETING USMEPCOM FORM 680-3A-E, REQUES…, Publications and Forms – USMEPCOM Home, Publications and Forms – U.S. Army, The USMEPCOM Form 680-3A-E is the first, required document completed by an applicant and their sponsoring Service, used to properly process, determine eligibility for authorizing requested…
FOR USE OF THIS FORM, SEE USMEPCOM REG 680-3 A. SERVICE PROCESSING FOR B. PRIOR SERVICE [ ] YES C. SELECTIVE SERVICE CLASSIFICATION [ ] NO D. SELECTIVE SERVICE REGISTRATION NUMBER NUMBER OF DAYS: 2. NAME (Last, First, Middle Name (and Maiden, if any), Jr.
Sr.
etc.) 1. SOCIAL SECURITY NUMBER 3.
USMEPCOM FORM 680-3A -E (BACK), 20140902 DRAFT. PRIVACY ACT STATEMENT. AUTHORITY: 10 U.S.C. 136, Under Secretary of Defense for Personnel and Readiness 504, Persons Not Qualified 505, Regular components:, 134 rows · 1/1/2019 · USMEPCOM Acceptable Use Policy: 11/1/2017: PDF: 836 kb: 25-1-7-E:.
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