NAME
(Last, First, Middle Initial)
SSN
PART IV - RECOMMENDATIONS/APPROVAL/DISAPPROVAL
22a. SIGNATURE
22b. DATE
(YYYYMMDD)
22.
I certify that this individual is eligible for an award in accordance with
AR 600-8-22; and that the information contained in Part I is correct.
23.
INTERMEDIATE
a. TO
b. FROM
c. DATE
(YYYYMMDD)
AUTHORITY
d. RECOMMEND:
APPROVAL
DISAPPROVAL
UPGRADE TO:
DOWNGRADE TO:
e. NAME
(Last, First, Middle Initial)
f. RANK
g. TITLE/POSITION
h. SIGNATURE
i. COMMENTS
24.
INTERMEDIATE
a. TO
b. FROM
c. DATE
(YYYYMMDD)
AUTHORITY
d. RECOMMEND:
APPROVAL
DISAPPROVAL
UPGRADE TO:
DOWNGRADE TO:
e. NAME
(Last, First, Middle Initial)
f. RANK
g. TITLE/POSITION
h. SIGNATURE
i. COMMENTS
25. INTERMEDIATE
a. TO
b. FROM
c. DATE
(YYYYMMDD)
AUTHORITY
d. RECOMMEND:
APPROVAL
DISAPPROVAL
DOWNGRADE TO:
UPGRADE TO:
e. NAME
(Last, First, Middle Initial)
f. RANK
g. TITLE/POSITION
h. SIGNATURE
i. COMMENTS
(YYYYMMDD)
26.
APPROVAL
a. TO
b. FROM
c. DATE
AUTHORITY
d.
APPROVED
DISAPPROVED
RECOMMEND UPGRADE TO:
DOWNGRADE TO:
e. NAME
(Last, First, Middle Initial)
f. RANK
g. TITLE/POSITION
h. SIGNATURE
i. COMMENTS
PART V - ORDERS DATA
27a. ORDERS ISSUING HQ
27b. PERMANENT ORDER NO.
31. DISTRIBUTION
28a. NAME OF ORDERS APPROVAL AUTHORITY
28b. RANK
28c. TITLE/POSITION
29. APPROVED AWARD
28d. SIGNATURE
30. DATE
(YYYYMMDD)
Page 2 of 3
DA FORM 638, APR 2006
APD PE v3.00ES