Da Form 4833 - Commander'S Report Of Disciplinary Or Administrative Action Page 2

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13. JUDICIAL FINDINGS
GUILTY
DISMISSED
OTHER
(For example, guilty of a lesser included offense. Explain in Remarks.)
NOT GUILTY
14. RESULTANT SENTENCES, PUNISHMENTS, OR ADMINISTRATIVE ACTION
(1) ORAL
(2) IN WRITING
a. REPRIMAND
b. ADMONITION
/
c. DETENTION
d. FORFEITURE
e. FINED
$
MONTHS
f. REDUCED FROM
g. EXTRA DUTY FOR
h. RESTRICTED FOR
TO
DAYS
DAYS
i. CORRECTIONAL CUSTODY FOR
DAYS
j. CONFINED
YEARS
MONTHS
PUNITIVE DISCHARGE
k. SEPARATION:
OTHER
Type
Chapter:
Characterization:
Effective Date:
(For example, suspension of driving privileges. Explain in Remarks.)
l. OTHER
15. REMARKS
16a. TYPED NAME AND GRADE OF COMMANDING OFFICER
16b. SIGNATURE
16c. DATE OF REPORT
(YYYYMMDD)
16d. AKO ACCOUNT E-MAIL ADDRESS
Page 2 of 2
DA FORM 4833, JUN 2004
APD 9V1.000

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