Академический Документы
Профессиональный Документы
Культура Документы
This document/folder may contain information covered under the Privacy Act, 5 USC 552
(a), and/or the Health Insurance Portability and Accountability Act (PL 104-191) and its
various implementing regulations and must be protected in accordance with those provisions.
PRIVACY ACT WARNING
Personally Identifiable Information contained in this document/folder is subject to the 5
U.S.C. 552a, as amended, the Privacy Act of 1974 and DoD 5400.11-R, "Department of
Defense Privacy Program." Personally Identifiable Information contained in this system
may be used only by authorized persons in the conduct of official business. Any individual responsible for unauthorized disclosure or misuse of personal information may be
subject to a fine of up to $5000.
HIPAA WARNING
Protected Health Information in this document/folder is subject to Public Law 104-191, the
Health Insurance Portability and Accountability Act of 1996 and the Final Privacy Rule
and Final Security Rule codified in 45 C.F.R. 160 and 164, DoD 6025.18-R, "DoD
Health Information Privacy Regulation" and DoD 8580.02-R, "DoD Health Information
Security Regulation." Information contained in this document/folder may only be used
and/or disclosed in strict conformance with these authorities. Healthcare information is
personal and sensitive and must be treated accordingly. If this correspondence contains
healthcare information it is being provided to you after appropriate authorization from
the patient or under circumstances that don't require patient authorization. Redisclosure
without additional patient consent or as permitted by law is prohibited. Unauthorized redisclosure or failure to maintain confidentiality subjects you to application of appropriate
sanction. If you have received this correspondence in error, please notify the sender at
once and destroy any copies you have made.
OATH OF ENLISTMENT
I ________________________________________________________ do solemnly swear (or affirm) that I will support and defend
the Constitution of the United States against all enemies, foreign and domestic; that I will bear true faith and allegiance to the same;
and that I will obey the orders of the President of the United States and the orders of the officers appointed over me, according to
regulations and the Uniform Code of Military Justice. So help me God.
ARMY VALUES
L- LOYALTY: BEAR TRUE FAITH AND ALLEGIANCE TO THE U.S. CONSTITUTION, THE ARMY, AND OTHER SOLDIERS.
D- DUTY: FULFILL YOUR OBLIGATIONS.
R- RESPECT: TREAT PEOPLE AS THEY SHOULD BE TREATED.
S- SELFLESS-SERVICE: PUT THE WELFARE OF THE NATION, THE ARMY AND YOUR SUBORDINATES BEFORE
YOUR OWN.
H- HONOR: LIVE UP TO ALL THE ARMY VALUES.
I- INTEGRITY: DO WHATS RIGHT, LEGALLY AND MORALLY.
P- PERSONAL COURAGE: FACE FEAR, DANGER, OR ADVERSITY (PHYSICAL AND MORAL).
GENERAL ORDERS
1st General Order: I will guard everything within the limits of my post and quit my post only when properly relieved
2nd General Order: I will obey my special orders and perform all my duties in a military manner.
3rd General Order: I will report violations of my special orders, emergencies, and anything not covered in my instructions, to
the commander of the relief.
THE CODE OF CONDUCT
I. I am an American, fighting in the forces, which guard my country and our way of life. I am prepared to give my life in their defense.
II. I will never surrender of my own free will. If in command, I will never surrender the members of my command while they still
have the means to resist.
III. If I am captured, I will continue to resist by all means available. I will make every effort to escape and aid others to escape. I will
accept neither parole nor special favors from the enemy.
IV. If I become a prisoner of war, I will keep faith with my fellow prisoners. I will give no information or take part in any action,
which might be harmful to my comrades. If I am senior, I will take command. If not, I will obey the lawful orders of those appointed
over me and will back them up in every way.
V. When questioned, should I become a prisoner of war, I am required to give name, rank, service number, and date of birth. I will
evade answering further questions to the utmost of my ability. I will make no oral or written statements disloyal to my country and
its allies or harmful to their cause.
VI. I will never forget that I am an American, fighting for freedom, responsible for my actions, and dedicated to the principles which
made my country free. I will trust in my God and in the United States of America.
SOLDIERS CREED
I am an American Soldier.
I am a Warrior and a member of a team.
I serve the people of the United States and live the Army Values.
I will always place the mission first.
I will never accept defeat.
I will never quit.
I will never leave a fallen comrade.
I am disciplined, physically and mentally tough, trained and proficient in my warrior tasks and drills. I always maintain my arms, my equipment and myself.
I am an expert and I am a professional.
I stand ready to deploy, engage, and destroy the enemies of the United States of America in close combat.
I am a guardian of freedom and the American way of life.
I am an American Soldier.
CREED OF THE NONCOMMISSIONED OFFICER
No one is more professional than I. I am a Noncommissioned Officer, a leader of Soldiers. As a
Noncommissioned Officer, I realize that I am a member of a time-honored corps, which is known as the
Backbone of the Army. I am proud of the Corps of Noncommissioned Officers and will at all times
conduct myself so as to bring credit upon the Corps, the military service and my country regardless of the
situation in which I find myself. I will not use my grade or position to attain pleasure, profit or personal safety.
Competence is my watchword. My two basic responsibilities will always be uppermost in my mind
accomplishment of my mission and the welfare of my Soldiers. I will strive to remain technically and
tactically proficient. I am aware of my role as a Noncommissioned Officer. I will fulfill my
responsibilities inherent in that role. All Soldiers are entitled to outstanding leadership; I will provide that
leadership. I know my Soldiers and I will always place their needs above my own. I will communicate
consistently with my Soldiers and never leave them uninformed. I will be fair and impartial when recommending both
rewards and punishment.
Officers of my unit will have maximum time to accomplish their duties; they will not have to
accomplish mine. I will earn their respect and confidence as well as that of my Soldiers. I will be loyal
to those with whom I serve; seniors, peers and subordinates alike. I will exercise initiative by taking
appropriate action in the absence of orders. I will not compromise my integrity, nor my moral courage. I will not forget, nor will I allow my comrades to forget that we are Professionals, Noncommissioned Officers, Leaders!
NAME:
Rank:
Phone:
AKO Email:
Alt. Email:
Home Address:
DOB:
BASD:
MOSQ
PMOS
SMOS
AMOS
PEBD:
DOR:
Promotion Eligibility:
ETS:
CIVILIAN EMPLOYMENT
COMPANY
PHONE#
TITLE / POSITION
CIVILIAN EDUCATION
SCHOOL
DEGREE/CERT./GOAL
REMARKS
FAMILY DATA
RELATIONSHIP
NAME
PHONE
NAME:
Rank:
Phone:
AKO Email:
Alt. Email:
Home Address:
DOB:
BASD:
MOSQ
PMOS
SMOS
AMOS
PEBD:
DOR:
Promotion Eligibility:
ETS:
CIVILIAN EMPLOYMENT
COMPANY
PHONE#
TITLE / POSITION
CIVILIAN EDUCATION
SCHOOL
DEGREE/CERT./GOAL
REMARKS
FAMILY DATA
RELATIONSHIP
NAME
PHONE
NAME:
Rank:
Phone:
AKO Email:
Alt. Email:
Home Address:
DOB:
BASD:
MOSQ
PMOS
SMOS
AMOS
PEBD:
DOR:
Promotion Eligibility:
ETS:
CIVILIAN EMPLOYMENT
COMPANY
PHONE#
TITLE / POSITION
CIVILIAN EDUCATION
SCHOOL
DEGREE/CERT./GOAL
REMARKS
FAMILY DATA
RELATIONSHIP
NAME
PHONE
NAME:
Rank:
Phone:
AKO Email:
Alt. Email:
Home Address:
DOB:
BASD:
MOSQ
PMOS
SMOS
AMOS
PEBD:
DOR:
Promotion Eligibility:
ETS:
CIVILIAN EMPLOYMENT
COMPANY
PHONE#
TITLE / POSITION
CIVILIAN EDUCATION
SCHOOL
DEGREE/CERT./GOAL
REMARKS
FAMILY DATA
RELATIONSHIP
NAME
PHONE
NAME:
Rank:
Phone:
AKO Email:
Alt. Email:
Home Address:
DOB:
BASD:
MOSQ
PMOS
SMOS
AMOS
PEBD:
DOR:
Promotion Eligibility:
ETS:
CIVILIAN EMPLOYMENT
COMPANY
PHONE#
TITLE / POSITION
CIVILIAN EDUCATION
SCHOOL
DEGREE/CERT./GOAL
REMARKS
FAMILY DATA
RELATIONSHIP
NAME
PHONE
NAME:
Rank:
Phone:
AKO Email:
Alt. Email:
Home Address:
DOB:
BASD:
MOSQ
PMOS
SMOS
AMOS
PEBD:
DOR:
Promotion Eligibility:
ETS:
CIVILIAN EMPLOYMENT
COMPANY
PHONE#
TITLE / POSITION
CIVILIAN EDUCATION
SCHOOL
DEGREE/CERT./GOAL
REMARKS
FAMILY DATA
RELATIONSHIP
NAME
PHONE
COUNSELING
Reference: FM 6-22
DA Form 4856
WEAPON S/N
CCO S/N
MASK#
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
NAME
SENSITIVE ITEMS
NAME
Name
Anti
Terrorism
Level 1
Accident
Avoidance
Comp.
Soldier
Fitness
DATE
AGE
PU
COUNT
SU
COUNT
RUN
TIME
Information
Assurance
APFT QUALIFICATION
Composite
Risk
Management
MANDATORY TRAINING
APFT
TOTAL
NAME
Name
Anti
Terrorism
Level 1
Accident
Avoidance
Comp.
Soldier
Fitness
DATE
AGE
PU
COUNT
SU
COUNT
RUN
TIME
Information
Assurance
APFT QUALIFICATION
Composite
Risk
Management
MANDATORY TRAINING
APFT
TOTAL
NAME
PERIODIC
HEALTH
ASSESSMENT
IMMUNIDENTAL PROFILE
ZATIONS
MEDICAL READINESS
WEAPON QUALIFICATION
NAME
DATE
SCORE
/40
/40
/40
/40
/40
/40
/40
/40
/40
/40
/40
/40
/40
M /S /E WEAPON
REMARKS
DATE
SCORE WEAPON
/40
/40
/40
/40
/40
/40
/40
/40
/40
/40
/40
/40
/40
SERIAL
NUMBER
REMARKS
SIZE: What is the size of the element? Platoon size, company size, 40 insurgents
ACTIVITY: What are they doing? taking position in saddle on Hill 8
LOCATION: Grid coordinates of element? 20456525 or on top of Bunker Hill
UNIT/UNIFORM: What unit is it and description. N. Korean Army, wearing plain
ENLISTED PROMOTIONS
Medal of Honor
Silver S
Legion of Merit
Distinguished Flying
Cross
Soldiers Medal
Purple H
Meritorious Service
Medal
Air Medal
Army Commendation
Medal
POW Medal
Army of Occupation
Medal
National D
Service M
Antarctica Service
Medal
Vietnam Service
Medal
Armed Forc
vice Me
Military Outstanding
Volunteer Service
Medal
NCO Professional
Development Ribbon
Overseas S
Ribbo
United Nations
Medal
(See box below)
NATO Medal
Kuwait Liberation
Medal (Kingdom of
Saudi Arabia)
Kuwait Liberation
Medal (Government
of Kuwait)
United Nations Observer
Group in India and Pakistan
Joint Ser
Achievemen
Multinationa
and Observe
LOCATION
RANK
NAME
SOG
FRONT GATE
SGT
BEAL
LOCATION
RANK
NAME
SOG
FRONT GATE
SGT
BEAL
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________