Da Form 4213 For use of this form see AR 135 133 the proponent agency is Office of The Surgeon General FOR ARMY SURGEON S USE ONLY 1 COMPLETE ALL ITEMS each time this form is used DA FORM 4213 APR 76 EDITION OF 1 FEB 74 MAY BE USED USAPA V1 00 31 CERTIFIED BY EDUCATIONAL COUNCIL FOR FOREIGN MEDICAL GRADUATES YES NO 32 TYPE OF CERTIFICATION
DA FORM 4213 APR 1976 EDITION OF 1 FEB 74 MAY BE USED YES NO 32 TYPE OF CERTIFICATION STANDARD TEMPORARY YES NO 4 Use blank sheet for continuation of items identifying by item number 5 Type or print 6 Date and sign original and two copies 6 NO of DE PENDENTS 13 DATE OF INITIAL APPOINTMENT 14 COMMIS SIONED 31 CERTIFIED BY DA Form 3540 Certificate and Acknowledgment of U S Army Reserve Service Requirements and Methods of DA Form 4187 Personnel Action DA Form 4213 Supplemental Data for Army Medical Service Reserve Officers DD Form 1172 Application for Uniformed Services Identification Card DEERS Enrollment DD Form 1966 Record of Military Processing
Da Form 4213
Da Form 4213
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https://www.armyreal.com/forms/pdf/a4213.pdf
For use of this form see AR 135 133 the proponent agency is Office of The Surgeon General FOR ARMY SURGEON S USE ONLY 1 COMPLETE ALL ITEMS each time this form is used DA FORM 4213 APR 76 EDITION OF 1 FEB 74 MAY BE USED USAPA V1 00 31 CERTIFIED BY EDUCATIONAL COUNCIL FOR FOREIGN MEDICAL GRADUATES YES NO 32 TYPE OF CERTIFICATION
https://daformfillable.com/wp-content/uploads/2024/05/DA-FORM-4213-Supplemental-Data-For-Army-Medical-Service-Reserve-Officers.pdf
DA FORM 4213 APR 1976 EDITION OF 1 FEB 74 MAY BE USED YES NO 32 TYPE OF CERTIFICATION STANDARD TEMPORARY YES NO 4 Use blank sheet for continuation of items identifying by item number 5 Type or print 6 Date and sign original and two copies 6 NO of DE PENDENTS 13 DATE OF INITIAL APPOINTMENT 14 COMMIS SIONED 31 CERTIFIED BY
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Q Who uses DA Form 4213 A Army Medical Service Reserve Officers use DA Form 4213 Q What is the purpose of DA Form 4213 A The purpose of DA Form 4213 is to provide supplemental data for Army Medical Service Reserve Officers Q Why is DA Form 4213 important A DA Form 4213 is important as it provides additional information for Army The security accreditation level of this site is UNCLASSIFIED and below Do not process store or transmit any Personally Identifiable Information PII UNCLASSIFIED CUI or CLASSIFIED information on this system
Fillable Form DA 4213 SUPPLEMENTAL DATA FOR ARMY MEDICAL SERVICE RESERVE OFFICERS FILL ONLINE EMAIL SHARE ANNOTATE FILL ONLINE FILL ONLINE Contents What is DA 4213 How to fill out DA 4213 FAQs about DA 4213 FILL ONLINE Related Forms DA 2631 DA 4213 DA 4221 Overview of DA FORM 4213 DA FORM 4213 was issued on April 1 1976 and remains an active form within the Army s documentation system The form is primarily used to collect additional data on medical service reserve officers which is vital for various administrative and operational purposes
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Form DA 4213 is a supplemental data form used in the military specifically by the U S Army for Army Medical Service Reserve Officers This form is used to collect and document additional information about reserve officers serving in the Army Medical Service The form consists of sections where the officer can provide personal information such as name rank and contact This form provides the personnel department with additional details that are not requested on the individual s original application The DA Form 4213 focuses on medical qualifications professional certifications and any other special skills or expertise that a Medical Service Reserve Officer may possess DA Form 4213 Example
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