Military Enlistment Police Check Form
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nevdullMilitary Enlistment Police Check Form
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nevdull1.
DATE OF REQUEST
POLICE RECORD CHECK
(YYYYMMDD)
OMB No. 0704-0007 OMB approval expires Mar 31, 2010
The public reporting burden for this collection of information is estimated to average 27 minutes per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to the Department of Defense, Executive Services Directorate (0704-0007). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number.
PLEASE DO NOT RETURN YOUR FORM TO THE ABOVE ORGANIZATION. RETURN COMPLETED FORM TO ADDRESS SHOWN AT BOTTOM OF FORM.
SECTION I - (To be completed by Recruiting Service) 2. NAME OF APPLICANT (Last, First, Middle Name(s), Alias)
3. SEX
MALE FEMALE
4. PLACE OF BIRTH
a. CITY b. COUNTY c. STATE
5. DATE OF BIRTH 6.a. RACIAL CATEGORY (X one or more)
(YYYYMMDD)
(1) AMERICAN INDIAN/ALASKA NATIVE (2) ASIAN (3) BLACK OR AFRICAN AMERICAN (4) WHITE (5) NATIVE HAWAIIAN OR OTHER PACIFIC ISLANDER
b. ETHNIC CATEGORY
(1) HISPANIC OR LATINO (2) NOT HISPANIC OR LATINO
7. SOCIAL SECURITY NUMBER
8. ADDRESS IN ADDRESSEE'S JURISDICTION (See "MAIL TO" block)
a. NUMBER AND STREET (Include apartment no.) b. CITY c. STATE d. ZIP CODE
9. DATES RESIDED AT THIS ADDRESS a. FROM (YYYYMMDD) b. TO (YYYYMMDD)
10. PERSON MAKING THIS REQUEST
a. NAME (Last, First, Middle Name(s)) b. RANK c. SIGNATURE d. TITLE
SECTION II - (To be completed by Applicant) PRIVACY ACT STATEMENT AUTHORITY: Title 10 United States Code, Sections 504, 505, 508, and 12102; E.O. 9397. PRINCIPAL PURPOSE: To determine eligibility of a prospective enlistee in the Armed Forces of the United States. ROUTINE USES: Information collected on this form may be released to law enforcement agencies engaged in the investigation or prosecution of a criminal act or the enforcement or implementation of a statute, rule, regulation or order; to any component of the Department of Justice for the purpose of representing the DoD. DISCLOSURE: Voluntary; however, failure of the applicant to complete Section II may result in refusal of enlistment in the Armed Forces of the United States. The data are for OFFICIAL USE ONLY and will be maintained and used in strict confidence in accordance with Federal law and regulations. Making a knowing and willful false statement on this DD Form 369 may be punishable by fine or imprisonment or both. All information provided by you, which possibly may reflect adversely on your past conduct and performance, may have an adverse impact on you in your military career in situations such as consideration for special assignment, security clearances, court martial and administrative proceedings, etc. SIGNATURE
11. I HEREBY CONSENT TO RELEASE FROM YOUR FILES THE INFORMATION REQUESTED BELOW.
SECTION III - (To be completed by Police or Juvenile Agency)
The person described above, who claims to have resided at the address shown above, has applied for enlistment in the Armed Forces of the United States. Please furnish from your files the information relative to Section III below. A return envelope is provided for your convenience. 12. HAS THE APPLICANT A POLICE OR JUVENILE RECORD, TO INCLUDE MINOR TRAFFIC VIOLATIONS?
(If YES, what was the offense or charge, date, disposition and sentence?) YES NO
13. IS APPLICANT NOW UNDERGOING COURT ACTION OF ANY KIND? (If YES, give details.)
YES
NO
THIS IS TO CERTIFY THAT THE ABOVE DATA AS CORRECTED ARE TRUE AND CORRECT ACCORDING TO THE RECORD ON FILE IN THIS OFFICE. THIS INFORMATION IS CONFIDENTIAL AND CANNOT BE USED IN ANY OTHER MANNER EXCEPT FOR OFFICIAL PURPOSES. 14. DATE (YYYYMMDD) 15. TITLE 16. VERIFIED BY (Signature)
LAW ENFORCEMENT AGENCY MAIL TO:
RECRUITING AGENCY MAIL FROM:
DD FORM 369, MAR 2007
PREVIOUS EDITION IS OBSOLETE.
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