Contribution Form - Active Duty Fund Drive Page 2
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2secretary of the navy’s
secretary of the navy’s
active duty fund drive
active duty fund drive
in support of the
in support of the
privacy act statement
Principal Purposes and Routine Uses
Information Regarding Disclosure of Your
privacy act statement
Principal Purposes and Routine Uses
Information Regarding Disclosure of Your
This form is used as the authority to make
Social Security Number Under the Privacy Act,
This form is used as the authority to make
Social Security Number Under the Privacy Act,
General
Section 7(b)
General
Section 7(b)
deductions from service member’s pay and
deductions from service member’s pay and
This information is provided pursuant to the
transmit such amounts to the Navy-Marine
Disclosure by you of your social security number
This information is provided pursuant to the
transmit such amounts to the Navy-Marine
Disclosure by you of your social security number
Privacy Act 1974 (5 U.S.C. 52a) for individuals
Privacy Act 1974 (5 U.S.C. 52a) for individuals
Corps Relief Society. This information will be
may be deemed mandatory for the purpose of
Corps Relief Society. This information will be
may be deemed mandatory for the purpose of
who complete the contribution form for the
who complete the contribution form for the
payroll deductions for contributions. Solicitation
payroll deductions for contributions. Solicitation
Navy-Marine Corps Relief Society.
Navy-Marine Corps Relief Society.
Navy and Marine Corps Finance Center.
of the social security number is an authorized
Navy and Marine Corps Finance Center.
of the social security number is an authorized
provision of Executive Order 9397.
provision of Executive Order 9397.
Authority
Authority
Effects of Nondisclosure
Effects of Nondisclosure
Executive Order 12353 authorized solicitation
Executive Order 12353 authorized solicitation
The disclosure of this information is voluntary;
SAFEGUARD PERSONALLY
The disclosure of this information is voluntary;
SAFEGUARD PERSONALLY
by members of the armed forces in support
by members of the armed forces in support
however, payroll deductions and payments to
however, payroll deductions and payments to
INDENTIFIABLE INFORMATION
INDENTIFIABLE INFORMATION
of their own members. 5 C.F.R. Part 950, and
the Navy-Marine Corps Relief Society cannot
of their own members. 5 C.F.R. Part 950, and
the Navy-Marine Corps Relief Society cannot
SECNAVINST 5340.7.
FROM UNAUTHORIZED
SECNAVINST 5340.7.
FROM UNAUTHORIZED
be made without a completed form.
be made without a completed form.
DISCLOSURE
DISCLOSURE
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