Soldier'S Personal Data Sheet Template
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SOLDIER'S PERSONAL DATA SHEET
PRIVACY ACT OF 1974 COMPLIANCE INFORMATION
The following information is provided in accordance with 5 U.S.C. 552a(e)(3) and applies to this form. Authority for collection of the information is 44 U.S.C. 2907, 3101,
and 3103, and E.O. 9397 of November 22, 1943. Disclosure of the information is voluntary. The purpose of the information on this form is to assist your unit servicing the
records. This form is then filed in the requested military service record as a record of disclosure. The form may also be disclosed to Department of Defense components, the
Department of Veterans Affairs, the Department of Transportation (Coast Guard), or the National Archives and Records Administration when the original custodian of the
military health and personnel records transfers all or part of those records to that agency. If the service member was a member of the National Guard, the form may also be
disclosed to the Adjutant General of the appropriate state,District of Columbia, or Puerto Rico, where he or she served. The following information will not be shared with
any unauthorized personal.
NAME
SSN
RANK/GRADE
ORGANIZATION
PMOS
SMOS
DATE OF BIRTH
AGE
WEIGHT lbs
HEIGHT in inches
HAIR
EYES
DATE OF RANK
BASD
ETS
TIG
TIS
BLOOD TYPE
RELIGION
22. ADDRESS
HOME PHONE
PROMOTABLE
POINTS
DATE LAST NCOER
YES
NO
DEPENDENTS
MARITAL STATUS
MARRIED
SINGLE
DIVORCED
SEPARATED
SPOUSE'S NAME
EFMP
DATE OF MARRIAGE
YES
NO
CHILD'S NAME
EFMP
AGE
SEX
YES
NO
CHILD'S NAME
EFMP
AGE
SEX
YES
NO
CHILD'S NAME
EFMP
AGE
SEX
YES
NO
CHILD'S NAME
EFMP
AGE
SEX
YES
NO
IF YOU HAVE MORE THEN FOUR CHILDREN OR HAVE ANY SPECIAL NEEDS FOR YOUR FAMILY DICTATE IT IN REMARKS.
NEXT OF KIN
NAME
ADDRESS
ALTERNATE NAME
ALTERNATE ADDRESS
PHONE
ALTERNATE PHONE
8 NOV 2006
PAGE 1of 2
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