HomeMy WebLinkAbout1738 ~ , r- T r ~ y Q'• •
~ • 4 yov 7
ENtISTMENT CONTRACT- ARMED FORCES Of THE UNITEO STATES Forn+Approu~ed
(Aho !o he ustd Dy AFEES in con%undiun r•ith mduction proc+taainR as n mtar,s of prou~d~ng ~la Jnr Badgtl B4reaY No. 2I-R0016
n~anporrsr in/on»aho~ rtportins:ystems•/
1. SENVICENO.ISSAN 2. NIGNEST D. RATE~Gp~'DE BRANCN/C1A55 S. iAST NAME •~!RST r+AME - u:DO~E VA~~E
SCHOOI GRADE ~ A!NC GOYPONEHT
CQMVLETEO _ ~ _
2f~2-E.a-75?l E ~!:~T ~ ?35AR ~:NC'.'LFS i oberL '~.1 e
6 O~tE OF ENL/INOUC 7 TERM Oi ENl15TMEtiT/iNDUC S~.MANITAI SD. NO. 9- NAYE R IOCATIOH Oi ACT~v~'r EfFECTtNG ENLISTMEHT/
STATUS DF~VENO. REENL1576tENTI1N~UCTION ~ i-~I~
. Jan N ~ ~
~IEARS O MINORITY ~
~ ip. wsOT SCORE ENC~STED/REENU57E0/~NDUCTED 17.wUT?+ RtTV iOQEMUSTwE T/REEtiLIST~ T/INDUC
v~ ~1 IST ENL~ST O NEENI. C~ tr~OUCT~ON
t 3. TERM Of ACOU f t. ACTWE/INACTIVE STA7U5 (RtStfol onlyJ ~~i !S. ACCEP7E0 AT ~JSARC "est Pal~ ~BC~ ~ ~
I~l±~n.'t OntMONTwS O ON AD EO ~MMED AD INACnVE~' 33L~5 s'~
1~ ? (70it1~fn Arf) ? DUTY
~6. DA1E M~L Ol~~ ~tiC ~7~ PMOS/wf5 te. REUG~ON 19 2Q CONTRAGT DUTY Li?IITATt0~~5
YA 6~(~ ~ 3iA N
2t. DATE OF•81RTH 22. Ct7~ZENSHiP COUNiqY 23. PIwCE Oi B~R?N (nlt Or [o4ltbyl
rspK,7y~
Nov ~S ~ N~T ~S a o
Za O~TE OF TRw~;SSEw 25. Pr+vS~GI PROFIIE 26. 2~ TRANSiER To lAtti~~ty and bcuuon) 20
2i D4TE IAST 7C/R~O 30. SvC i11pY MM 3~ ~ 32 ~ ~ 33. 7vvE G~ UST O~SC~ aGE ~
US~ MSCMARGEO
,Sa 66 USi4C Y ~ N A Yonorsble ~
35 D~~E OF nw~E/Ge 36. SELEC7NE SERVICE NO P~TEi 4a ~vT/aw~T 3e. SElECT1VE SErtVtCE iOCAt 8D (Bd NO.. City 6~ itOttj
6 N
33. BILSD/ADBO : ~O. TOTAt AC71VE FEDER/~l SER?tCE •1. MOME Oi f1ECOR0 ~O ~=n~P Avenue
' Y7
YEARS MONTi+S OAYS
' l2. sP ED/PEBD a3.~ ~w~ INACTIVE fEDE~+At SERV~CE 41. MENtAL TEST SCORES
j o~ F@b 16 ~ YE,~„s fILEG E,:OriOED
MOw~~+S ~OAYS ST.
R~3:T~ , .>~AS ~
` ~s sEx •6. RIICE a~ OA1A VROCESSING COOE CLEh1: ~:•.'~,t~ ~OURT
! RF':C. t~.:
~ M C _ ?~/A
•a z 3s PH'T~1
U5.".R - 2~ '
.9_ raoc sEev~cE -
ORAMCH A~ CLASSi OATE ENI. OATEOF GRADf/ TrPEOf REw50N FOft T1ME
~RMED FORCE a SERVICE NUMBER/ DiSCHARGE OiSCF~ARGE LOST
INO, APT, QtSCMARGE iL?TE
COMPONENT SSAN AND/OR OAD OR qELEASE OW RANK (~0• ~Y~~
Ful USHC 0
FL ,tiT. : ~ 262-E,o-75T1 2ano 5b ? oct 58 ~c Hn ,
f 262~E~o-757i aoct 58 ~_ay 66 scT xo i~ o
~ Se 3 Sep 73 S3T ND i~ 0
us~~cx ; 262~a7571 p 71
i ~
i
~
b0. ! know that H I soat~ m~ mUummt by meam of an U~1ss wtm~t, ~W(ul mUrepraentatloa or coeccalmrnt as to m~i qu~IN{estfons -
for mlLfmm~ i am It~ble b Itfal b~ court matUal or df~6stp ~t fn~dnknt mils~ent and th~t. It cejceted becau~e ot any dlsqwl~atbo tnoao
~nd cOooesled by me, i ~tll a0t A~ /utnf~Led [~um traosOo~tatbo b pl~n of aoesptaace.
! am of ILe k~ai a~t b enWl. I bave nKVer ds~eSe~ ![os ~nd f am oM a member o! the Armcd Forces of the UnNed States, the US
Coa~t Guard or •oy Resave eompoueot ~ereo~ I ha~e neret bem dYt~wrted from 1he Atmed Foeces or aoy type d dvlltan em ~om t ln
~ Ihe Ud4ed SuW or an7 other oounte7 co taooant o( dlaabl9q or tbrou~h ~entenee ot dther dvlWn or miGtary eourt aalas w ~futed by
me lo tt~ b6, •Remartt• ot thU eontraet 1•m not oo~ dnwln~ ntlred p~7• ~ Pa+~~~• dtaabliitp ~lb~ance. or dUabfllty compen~atlon trom
the ~overnmeat of_t6e Unlled Sutn.
~~.s 51. S6CTIOPI 5538 OF TITLE 10 OF TH8 UNITED STA'I'ES CODE 1s auoted: "{e) 'It+e Secrotar~ o[ Hie No~7 ~Y eriend enLstrneats in
~ the Re~ul~r ri~~ry ~nd the Re~ular y(~rine Coepi fn tlm~ ot wr~r or !n tlme of aationd emertntt~ deel~r~d bf ~e Pre~ldeat (ar weh period ~s
~ hc coaslder~ nece~~~ty in the publtc lntentf. Eaeh memb« ~lw~~ ~nlistment ~~t~ad~d ++~en ~etloe sh~ll be dl~eh~r~ed not lalet
ttsan st= months ~(ter the md o( tAe wrar orn~tlonat ~mttLea~7. ml~~s he wluntuil7 ~ztend~ h!s ~oltstment. fb) The wbstaace of thls secUon
~ at~all be fncluded (n the enll~tment contr~M o[ ~aeb penon ~all~tlnt in tha Re~ui~r Ii~ti or Re~ul~r Y~rine Co~p~."
S2. SLCTION 65f0 OF T1TLE !0 OF THS UNITfiD 8TATBS CODS b quoted• '(a) The senbr ofllcec p+escnt ~tloat In forN[n ~aten
.~~'u-. ahaU seod to the Unlud States by Go~~mmt o[ot!~r~o ~ttlbs p soon u poasib{e t~eD enBsted roEer ot 11+e naral ~ervioe who fi ~ervin~
on a eav~i ~uJ. ~Do~e teim o! mlbtmmt ru ~sp~d. ~nd ~rAo d~qre~ W*asirn b th~ Unltd 6t~ta Ho~rtver. ahea tbe Molor aAloerp~e~mt
afloat musWsrs It wcntlai w the puE11e I~asq. be ~ edafa a~ ~ msmE~r oo ~w dnp~ ~o1D ~~wei teturos to the Unked Sta1a. Ib) S~eb
membet r~tafaed nodv tLb sectlon -(1) rb~ll be dI~L~Red ool IaMr tLan i0 da~s ~lteclk arAird 1~ ILe Uni~ed ~tates• ~od (41 ueep L tlme
~ of ~ar r eanu~a b•n Uxreue In Oufe par d 3b p~srenl. !e) 7Le wbstaoc~ ot 1b1~ seetlus s6aII be indad~d In lhe enlbUnen~ rnnVad d e~eh
person m1Ltl~ lo tAe naval servke.•
f-.
Sj. [ wxlerstsmi th+t, upon ecli~m~ent ln a R~~~ne Compoaent of th~ Aemed Forc~~ ot th~ [Tnlted 6t~te~, or upoa Wn~ter or ~ss ~na?ent
~ thereto, I m~~ be orGexa w~cd~e dut~ wrlthout m~ ean~eat -[or ffi~ duratloo of ~ wu or s~tlon~l wm~e[~o~7 deel~red b~ ConQe~s ~nd (or
otl~tr eAOndition~ andrlor such period [ tlme ~~rt pns~ntl~ or ~ tt~r ~morl~s~d~b~ lsw. llvtber ~mdK~t~nd, ~s • ststuEOrl1~ Wlptedr
mmber ot the Re~d~ Reame that !f I~m nut ~s~l~ned W, or p~rtldpaMn~ ~~t1~t~etoAlf iA, ~ m!t ot t6e Re~Q~ Res~r~e; wd h~~ aot ser~•~d
on ~cti~e duq~ for ~ to41 ot 44 moneb~. I m~y be ord~ed to ~odti dub wllboat m7 t~~rot. b~ orQer ot ehe Pre~ldmt, unfll m~ tobl senle~
on ~¢tl~e dut~ equ~l• Zf moath~, ehe term~ of m~ tall~d~nt aoMm~t~sdia[~
OD FORM 4~ ~ FEB ]O REPLACES DO FOftM I. 1 APR 6~. MHICM 13 OBSOLETE. ~OR 1~~5
, -
~
~;a
. - - - -
~i~ ~ .w~~ ~ _ ~ -
a': ,g
~~~rr
. - . . _ . . _ . . _ _ _ .