ENLISTMENT/REENLISTMENT DOCUMENT
ARMED FORCES OF THE UNITED STATES
PRIVACY ACT STATEMENT
AUTHORITY: 5 U.S.C. 3331; 10 U.S.C. 113, 136, 502, 504, 505, 506, 507, 508, 509, 510, 513, 515, 516, 518, 519, 972, 978, 2107, 2107a, 3253,
3258, 3262, 5540, 8252, 8253, 8257, 8258, 12102, 12103, 12104, 12105, 12106, 12107, 12108, 12301, 12302, 12304, 12305, 12405; 14 USC 351,
632; 32 U.S.C. 301, 302, 303, 304; and Executive Order 9397, November 1943 (SSN).
PRINCIPAL PURPOSE(S): To record enlistment or reenlistment into the U.S. Armed Forces. This information becomes a part of the subject's
military personnel records which are used to document promotion, reassignment, training, medical support, and other personnel management
actions. The purpose of soliciting the SSN is for positive identification.
ROUTINE USE(S): This form becomes a part of the Service's Enlisted Master File and Field Personnel File. All uses of the form are internal to the
relevant Service.
DISCLOSURE: Voluntary; however, failure to furnish personal identification information may negate the enlistment/reenlistment application.
A. ENLISTEE/REENLISTEE IDENTIFICATION DATA
1. NAME
2. SOCIAL SECURITY NUMBER
(Last, First, Middle)
3. HOME OF RECORD
4. PLACE OF ENLISTMENT/REENLISTMENT
(Street, City, County, State, Country, ZIP Code)
(Mil. Installation, City, State)
5. DATE OF ENLISTMENT/
6. DATE OF BIRTH
(YYYYMMDD)
7. PREV MIL SVC UPON ENL/REENLIST
YEARS
MONTHS
DAYS
REENLISTMENT
(YYYYMMDD)
a. TOTAL ACTIVE MILITARY SERVICE
b. TOTAL INACTIVE MILITARY SERVICE
B. AGREEMENTS
ARMY RESERVE
8. I am enlisting/reenlisting in the United States
(list branch of service)
0
CADET
8
this date for
years and
weeks beginning in pay grade
of which
years and
weeks is considered an Active Duty Obligation, and
years and
weeks will be served in the Reserve Component of the Service in which I have enlisted. If this is an initial
enlistment, I must serve a total of eight (8) years, unless I am sooner discharged or otherwise extended by the appropriate
authority. This eight year service requirement is called the Military Service Obligation. The additional details of my enlistment/
reenlistment are in Section C and Annex(es)
(list name of Annex(es) and describe)
a. FOR ENLISTMENT IN A DELAYED ENTRY/ENLISTMENT PROGRAM (DEP):
I understand that I am joining the DEP. I understand that by joining the DEP I am enlisting in the Ready Reserve component of the
United States
(list branch of service)
for a period not to exceed
365 days, unless this period of time is otherwise extended by the Secretary concerned. While in the DEP, I understand that I am in
a nonpay status and that I am not entitled to any benefits or privileges as a member of the Ready Reserve, to include, but not
limited to medical care, liability insurance, death benefits, education benefits, or disability retired pay if I incur a physical disability. I
understand that the period of time while I am in the DEP is NOT creditable for pay purposes upon entry into a pay status. However,
I also understand that the period of time while I am in the DEP is counted toward fulfillment of my military service obligation
described in paragraph 10, below. While in the DEP, I understand that I must maintain my current qualifications and keep my
recruiter informed of any changes in my physical or dependency status, qualifications, and mailing address. I understand that I
WILL be ordered to active duty unless I report to the place shown in item 4 above by
(list date (YYYYMMDD))
for enlistment in the Regular component of the United States
(list branch of service)
for not less than
years and
weeks.
b. REMARKS
: (lf none, so state.)
"AUTHORITY. AR 145-1, USAR CONTROL GROUP (ROTC)
DA FORM 597-3
c. The agreements in this section and attached annex(es) are all the promises made to me by the Government. ANYTHING ELSE
ANYONE HAS PROMISED ME IS NOT VALID AND WILL NOT BE HONORED.
(Initials of Enlistee/Reenlistee)
(Continued on Page 2)
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DD FORM 4/1, OCT 2007
PREVIOUS EDITION IS OBSOLETE.
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