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 (Last, First, Middle) 2. SOCIAL SECURITY NUMBER
3. HOME OF RECORD (Street, City, County, State, Country, ZIP Code) 4. PLACE OF ENLISTMENT/REENLISTMENT (Mil. Installation, City, State)
5. DATE OF ENLISTMENT/
REENLISTMENT
(YYYYMMDD)
6. DATE OF BIRTH (YYYYMMDD)
7. PREV MIL SVC UPON ENL/REENLIST YEARS MONTHS DAYS
a. TOTAL ACTIVE MILITARY SERVICE
b. TOTAL INACTIVE MILITARY SERVICE
B. AGREEMENTS
8. I am enlisting/reenlisting in the United States (list branch of service)
this date for years and weeks beginning in pay grade
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 not less than years and
b. REMARKS: (lf none, so state.)
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)
DD FORM 4/1, OCT 2007
PREVIOUS EDITION IS OBSOLETE.
of which
years and
weeks is considered an Active Duty Obligation, and
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)
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 a period not to exceed
for enlistment in the Regular component of the United States (list branch of service)
weeks.
Adobe Professional 8.0
years and
weeks will be served in the Reserve Component of the Service in which I have enlisted. If this is an initial
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C. PARTIAL STATEMENT OF EXISTING UNITED STATES LAWS
DD FORM 4/1 (PAGE 2), OCT 2007
9. FOR ALL ENLISTEES OR REENLISTEES:
I understand that many laws, regulations, and military customs
will govern my conduct and require me to do things under this
agreement that a civilian does not have to do. I also understand
that various laws, some of which are listed in this agreement,
directly affect this enlistment/reenlistment agreement. Some
examples of how existing laws may affect this agreement are
explained in paragraphs 10 and 11. I understand that I cannot
change these laws but that Congress may change these laws, or
pass new laws, at any time that may affect this agreement, and that
I will be subject to those laws and any changes they make to this
agreement. I further understand that:
a. My enlistment/reenlistment agreement is more than an
employment agreement. It effects a change in status from civilian to
military member of the Armed Forces. As a member of the Armed
Forces of the United States, I will be:
(1) Required to obey all lawful orders and perform all assigned
duties.
(2) Subject to separation during or at the end of my enlistment.
If my behavior fails to meet acceptable military standards, I may be
discharged and given a certificate for less than honorable service,
which may hurt my future job opportunities and my claim for
veteran's benefits.
(3) Subject to the military justice system, which means, among
other things, that I may be tried by military courts-martial.
(4) Required upon order to serve in combat or other hazardous
situations.
(5) Entitled to receive pay, allowances, and other benefits as
provided by law and regulation.
b. Laws and regulations that govern military personnel may
change without notice to me. Such changes may affect my status,
pay, allowances, benefits, and responsibilities as a member of the
Armed Forces REGARDLESS of the provisions of this enlistment/
reenlistment document.
10. MILITARY SERVICE OBLIGATION, SERVICE ON ACTIVE
DUTY AND STOP-LOSS FOR ALL MEMBERS OF THE ACTIVE
AND RESERVE COMPONENTS, INCLUDING THE NATIONAL
GUARD.
a. FOR ALL ENLISTEES: If this is my 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. Any
part of that service not served on active duty must be served in the
Reserve Component of the service in which I have enlisted. If this is
a reenlistment, I must serve the number of years specified in this
agreement, unless I am sooner discharged or otherwise extended
by the appropriate authority. Some laws that affect when I may be
ordered to serve on active duty, the length of my service on active
duty, and the length of my service in the Reserve Component, even
beyond the eight years of my Military Service Obligation, are
discussed in the following paragraphs.
b. I understand that I can be ordered to active duty at any time
while I am a member of the DEP. In a time of war, my enlistment
may be extended without my consent for the duration of the war and
for six months after its end (10 U.S.C. 506, 12103(c)).
c. As a member of a Reserve Component of an Armed Force, in
time of war or of national emergency declared by the Congress, I
may, without my consent, be ordered to serve on active duty, for the
entire period of the war or emergency and for six (6) months after its
end (10 U.S.C. 12301(a)). My enlistment may be extended during
this period without my consent (10 U.S.C. 12103(c)).
d. As a member of the Ready Reserve (to include Delayed
Entry Program), in time of national emergency declared by the
President, I may, without my consent, be ordered to serve on
active duty, and my military service may be extended without
my consent, for not more than 24 consecutive months (10
U.S.C. 12302). My enlistment may be extended during this
period without my consent (see paragraph 10g).
e. As a member of the Ready Reserve, I may, at any time
and without my consent, be ordered to active duty to complete
a total of 24 months of active duty, and my enlistment may be
extended so I can complete the total of 24 months of active
duty, if:
(1) I am not assigned to, or participating unsatisfactorily in,
a unit of the Ready Reserve; and
(2) I have not met my Reserve obligation; and
(3) I have not served on active duty for a total of 24
months (10 U.S.C. 12303).
f. As a member of the Selected Reserve or as a member
of the Individual Ready Reserve mobilization category, when
the President determines that it is necessary to augment the
active forces for any operational mission or for certain
emergencies, I may, without my consent, be ordered to active
duty for not more than 365 days (10 U.S.C. 12304). My
enlistment may be extended during this period without my
consent (see paragraph 10g).
g. During any period members of a Reserve component
are serving on active duty pursuant to an order to active duty
under authority of 10 U.S.C. 12301, 12302, or 12304, the
President may suspend any provision of law relating to my
promotion, retirement, or separation from the Armed Forces if
he or his designee determines I am essential to the national
security of the United States. Such an action may result in an
extension, without my consent, of the length of service
specified in this agreement. Such an extension is often called
a "stop-loss" extension (10 U.S.C. 12305).
h. I may, without my consent, be ordered to perform
additional active duty training for not more than 45 days if I
have not fulfilled my military service obligation and fail in any
year to perform the required training duty satisfactorily. If the
failure occurs during the last year of my required membership
in the Ready Reserves, my enlistment may be extended until I
perform that additional duty, but not for more than six months
(10 U.S.C. 10148).
11. FOR ENLISTEES/REENLISTEES IN THE NAVY,
MARINE CORPS, OR COAST GUARD: I understand that if I
am serving on a naval vessel in foreign waters, and my
enlistment expires, I will be returned to the United States for
discharge as soon as possible consistent with my desires.
However, if essential to the public interest, I understand that I
may be retained on active duty until the vessel returns to the
United States. If I am retained under these circumstances, I
understand I will be discharged not later than 30 days after my
return to the United States; and, that except in time of war, I
will be entitled to an increase in basic pay of 25 percent from
the date my enlistment expires to the date of my discharge.
12. FOR ALL MALE APPLICANTS: Completion of this form
constitutes registration with the Selective Service System in
accordance with the Military Selective Service Act. Incident
thereto the Department of Defense may transmit my name,
permanent address, military address, Social Security Number,
and birthdate to the Selective Service System for recording as
evidence of the registration.
(Initials of Enlistee/Reenlistee)
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D. CERTIFICATION AND ACCEPTANCE
NAME OF ENLISTEE/REENLISTEE (Last, First, Middle) SOCIAL SECURITY NO. OF ENLISTEE/REENLISTEE
DD FORM 4/2, OCT 2007
13a. My acceptance for enlistment is based on the information I have given in my application for enlistment. If any of that
information is false or incorrect, this enlistment may be voided or terminated administratively by the Government or I may be tried
by a Federal, civilian, or military court and, if found guilty, may be punished.
I certify that I have carefully read this document, including the partial statement of existing United States laws in Section
C and how they may affect this agreement. Any questions I had were explained to my satisfaction. I fully understand
that only those agreements in Section B and Section C of this document or recorded on the attached annex(es) will be
honored. I also understand that any other promises or guarantees made to me by anyone that are not set forth in
Section B or the attached annex(es) are not effective and will not be honored.
b. SIGNATURE OF ENLISTEE/REENLISTEE c. DATE SIGNED (YYYYMMDD)
14. SERVICE REPRESENTATIVE CERTIFICATION
a. On behalf of the United States
(list branch of service)
,
I accept this applicant for enlistment. I have witnessed the signature in item 13b to this document. I certify that I have explained
that only those agreements in Section B of this form and in the attached Annex(es) will be honored, and any other promises made
by any person are not effective and will not be honored.
b. NAME (Last, First, Middle) c. PAY GRADE d. UNIT/COMMAND NAME
e. SIGNATURE f. DATE SIGNED
(YYYYMMDD)
g. UNIT/COMMAND ADDRESS (City, State, ZIP Code)
E. CONFIRMATION OF ENLISTMENT OR REENLISTMENT
15. IN THE ARMED FORCES EXCEPT THE NATIONAL GUARD (ARMY OR AIR):
I,
, do solemnly swear (or affirm) that I will support and defend
the Constitution of the United States against all enemies, foreign and domestic; that I will bear true faith and allegiance to the same;
and that I will obey the orders of the President of the United States and the orders of the officers appointed over me, according to
regulations and the Uniform Code of Military Justice. So help me God.
16. IN THE NATIONAL GUARD (ARMY OR AIR):
I,
, do solemnly swear (or affirm) that I will support and defend
the Constitution of the United States and the State of
against all enemies, foreign and
domestic; that I will bear true faith and allegiance to the same; and that I will obey the orders of the President of the United States
and the Governor of
and regulations. So help me God.
17. IN THE NATIONAL GUARD (ARMY OR AIR):
I do hereby acknowledge to have voluntarily enlisted/reenlisted this
day of
in the National Guard and as a Reserve of the United States (list branch of service)
with membership in the
National Guard of the United States for a period of years, months,
conditions prescribed by law, unless sooner discharged by proper authority.
18.a. SIGNATURE OF ENLISTEE/REENLISTEE b. DATE SIGNED (YYYYMMDD)
19. ENLISTMENT/REENLISTMENT OFFICER CERTIFICATION
a. The above oath was administered, subscribed, and duly sworn to (or affirmed) before me this date.
b. NAME (Last, First, Middle) c. PAY GRADE d. UNIT/COMMAND NAME
e. SIGNATURE f. DATE SIGNED
(YYYYMMDD)
g. UNIT/COMMAND ADDRESS (City, State, ZIP Code)
PREVIOUS EDITION IS OBSOLETE.
,
and the orders of the officers appointed over me, according to law
days, under the
(Initials of Enlistee/Reenlistee)
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F. DISCHARGE FROM/DELAYED ENTRY/ENLISTMENT PROGRAM
NAME OF ENLISTEE/REENLISTEE (Last, First, Middle) SOCIAL SECURITY NO. OF ENLISTEE/REENLISTEE
DD FORM 4/3, OCT 2007
PREVIOUS EDITION IS OBSOLETE.
20a. I request to be discharged from the Delayed Entry/Enlistment Program (DEP) and enlisted in the Regular Component of the
United States (list branch of service) for a period of years and
weeks. No changes have been made to my enlistment options OR if changes were made they are recorded on
Annex(es)
which replace(s) Annex(es)
.
b. SIGNATURE OF DELAYED ENTRY/ENLISTMENT PROGRAM ENLISTEE c. DATE SIGNED (YYYYMMDD)
G. APPROVAL AND ACCEPTANCE BY SERVICE REPRESENTATIVE
21. SERVICE REPRESENTATIVE CERTIFICATION
a. This enlistee is discharged from the Reserve Component shown in item 8 and is accepted for enlistment in the Regular
Component of the United States (list branch of service) in pay grade .
b. NAME (Last, First, Middle) c. PAY GRADE d. UNIT/COMMAND NAME
e. SIGNATURE f. DATE SIGNED
(YYYYMMDD)
g. UNIT/COMMAND ADDRESS (City, State, ZIP Code)
H. CONFIRMATION OF ENLISTMENT OR REENLISTMENT
22a. IN A REGULAR COMPONENT OF THE ARMED FORCES:
I,
, do solemnly swear (or affirm) that I will support and defend
the Constitution of the United States against all enemies, foreign and domestic; that I will bear true faith and allegiance to the same;
and that I will obey the orders of the President of the United States and the orders of the officers appointed over me, according to
regulations and the Uniform Code of Military Justice. So help me God.
b. SIGNATURE OF ENLISTEE/REENLISTEE c. DATE SIGNED (YYYYMMDD)
23. ENLISTMENT OFFICER CERTIFICATION
a. The above oath was administered, subscribed, and duly sworn to (or affirmed) before me this date.
b. NAME (Last, First, Middle) c. PAY GRADE d. UNIT/COMMAND NAME
e. SIGNATURE f. DATE SIGNED
(YYYYMMDD)
g. UNIT/COMMAND ADDRESS (City, State, ZIP Code)
(Initials of Enlistee/Reenlistee)
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