Service Details Form
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1IMPORTANT
Defence Service Homes
Service Details
Privacy notice
Your personal information is protected by law, including the Privacy Act 1988. Your personal information may be collected by the Department of
Veterans’ Affairs (DVA) for the delivery of government programs for war veterans, members of the Australian Defence Force, members of the Australian
Federal Police and their dependants.
Read more: How DVA manages personal information
This form should be completed from the records held in your unit. Your Commanding Officer/Officer Commanding or authorised representative
must certify the details.
Surname
Given names
Telephone
Address
(
)
Date of birth
Rank
Service number
Name of force (e.g. Army)
/
/
Please complete ALL sections (insert N/A if not applicable)
Details of member's Regular/Permanent effective full-time service
Discharge or
Enlistment date
retirement date
Reason or comment (if still serving, write 'still serving')
Enlistment
/
/
/
/
/
/
/
/
/
/
/
/
Start date
Completion date
Reason or comment
Leave without pay
/
/
/
/
/
/
/
/
/
/
/
/
/
/
/
/
Other non-effective
service
/
/
/
/
Start date
Completion date
Previous service no.
Reason or comment
Change in service
/
/
/
/
(e.g. Army to
Air Force)
/
/
/
/
Location
Start date
Completion date
Allotment for
/
/
/
/
operational
service in:
/
/
/
/
Details of member's Reserve service
Discharge or
Full/part-time
Enlistment date
retirement date
Reason or comment
Part-time
/
/
/
/
Enlistment
Part-time
/
/
/
/
Certification by Commanding Officer/Officer Commanding or an authorised representative
I certify that the service details shown on this form are in
accordance with those held on the service member's personnel file.
Signature
/
/
Name
Rank
Appointment
Save
Print
Unit
Telephone
(
)
Clear
Unit Stamp
D7608 - 1/04 - P1 of 1
Please remember to stamp - unstamped certifications will be returned for stamping
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Parent category: Legal