Army reserve record of individual performance of reserve duty training




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ARMY RESERVE

RECORD OF INDIVIDUAL PERFORMANCE OF RESERVE DUTY TRAINING

For use of this form see AR 140-185, the proponent agency is OCAR



1. DATE

2. FROM (Reporting Agency) (Include ZIP Code



3. RETIREMENT YEAR ENDING

DATE



4. TO: (Custodian of reservists’ field 201 file) (include ZIP Code)

 





5. LAST NAME - FIRST NAME - MIDDLE INITIAL



6. GRADE

7. SOCIAL SECURITY NO.



8. BRANCH



9. INDIVIDUAL’S ASSIGNED ORGANIZATION (if different from office of addressee)



  1. THE ABOVE NAMED RESERVIST PERFORMED EQUIVALENT APPROPRIATE  SUITABLE  OTHER

(Check applicable box) DUTIES, TRAINING OR INSTRUCTION ON THE DATES AND FOR THE HOURS INDICATED AS AUTHORIZED BY

(Cite authorization): PER IDS

a. DATE




RETIREMENT



DAY

MONTH

YEAR


HOURS

b

POINTS

c

NATURE OF DUTIES, TRAINING OR INSTRUCTION

d














11. TYPED NAME, GRADE AND POSITION OF OFFICER HAVING

KNOWLEDGE OF DUTIES PERFORMED




12. SIGNATURE OF OFFICER (Item 11)

13. FOR CUSTODIAN OF INDIVIDUAL RESERVIST’S RECORDS

 REPORTED TO SERVICING DATA PROCESSING UNIT

PAY DATA  EXTRACTED  NOT APPLICABLE


DA FORM 1380 PREVIOUS EDITIONS OF THIS FORM ARE OBSOLETE

1 FEB 75


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