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2 | SERVICE RECORD For use of this form, see AR 600-8-6; the proponent agency is DCS, G-1. | |||||||||||||||
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4 | PART I - PERSONAL DATA | |||||||||||||||
5 | 1. LAST NAME, FIRST NAME | 2. PLAYER ID | 3a. GRADE, RATE OR RANK | b. PAY GRADE | ||||||||||||
6 | SANDSTROM, JUSTIN | 76561198382418149 | SERGEANT | E-5 | ||||||||||||
7 | 4. PLACE OF BIRTH (Country) | 5. DATE OF BIRTH | DAY | MONTH | YEAR | 6. DATE OF RANK | DAY | MONTH | YEAR | |||||||
8 | UNITED STATES OF AMERICA | 16 | 04 | 97 | 01 | 10 | 23 | |||||||||
9 | 7. UNIT ASSIGNMENT | 8. TIME IN GRADE | YEARS | MONTHS | DAYS | |||||||||||
10 | ELOA SECTION, ALPHA COMPANY | 00 | 01 | 04 | ||||||||||||
11 | PART II - SERVICE DATA | |||||||||||||||
12 | 9a. CURRENT ACTIVE SERVICE OTHER THAN BY INDUCTION | b. TERM OF SERVICE (Yrs) | c. DATE OF ENTRY | |||||||||||||
13 | OFFICER | WARRANT OFFICER | 0 | DAY | MONTH | YEAR | ||||||||||
14 | ENLISTED | REENLISTED | 03 | 01 | 23 | |||||||||||
15 | 10. PRIOR REGULAR ENLISTMENTS | 11. GRADE, RATE, OR RANK AT TIME OF ENTRY INTO CURRENT ACTIVE SERVICE | 12. STATEMENT OF SERVICE | YEARS | MONTHS | DAYS | ||||||||||
16 | 0 | PRIVATE | CREDITABLE FOR BASIC PAY PURPOSES | (1) NET SERVICE THIS MEETING | 00 | 10 | 02 | |||||||||
17 | 13a. PRIMARY MOS | b. SECONDARY MOS(S) | (2) OTHER SERVICE | 00 | 00 | 00 | ||||||||||
18 | 11B | 79R | 11BX | (3) TOTAL ACTIVE SERVICE | 00 | 10 | 02 | |||||||||
19 | 14. DECORATIONS, MEDALS, BADGES, COMMENDATIONS, CITATIONS, AND CAMPAIGN RIBBONS AWARDED OR AUTHORIZED | |||||||||||||||
20 | ARMY SERVICE RIBBON | |||||||||||||||
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23 | 15. EDUCATION AND TRAINING COMPLETED | |||||||||||||||
24 | ONE STATION UNIT TRAINING COMBAT LIFESAVER COURSE BASIC LEADERSHIP COURSE | |||||||||||||||
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29 | 16a. BILLET ASSIGNMENT RECORD | 16b. STAFF ASSIGNMENT RECORD | ||||||||||||||
30 | ENLISTED - 03/01/23 ASSIGNED TO 1/1/A - 07/01/23 ASSIGNED AS ACTING FIRETEAM LEADER, 1/1/A - 27/03/23 ASSIGNED AS FIRETEAM LEADER, 1/1/A - 09/05/23 ASSIGNED AS SQUAD LEADER, 1/1/A - 05/08/23 TRANSFERRED TO ELOA SECTION - 30/10/23 TRANSFERRED TO 1/1/A AS SQUAD LEADER - 07/01/24 | ASSIGNED TO S1 (79R) - 04/04/23 ASSIGNED TO S7 (11BH) - 16/09/23 UPGRADED IN S7 (11BX DS) - 18/02/24 UPGRADED IN S7 (11BX SDS) - 18/03/24 | ||||||||||||||
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37 | 17. PROMOTION RECORD | |||||||||||||||
38 | PRIVATE SECOND CLASS - 07/01/23 PRIVATE FIRST CLASS - 05/03/23 SPECIALIST - 07/05/23 CORPORAL - 02/07/23 PASSED PROMOTION BOARD (SERGEANT) - 17/09/26 SERGEANT - 01/10/23 | |||||||||||||||
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43 | 18. COMBAT RECORD | |||||||||||||||
44 | NORTHERN FULCRUM | |||||||||||||||
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49 | PART III - LEAVE & REMARKS | |||||||||||||||
50 | 19a. LEAVE RECORD | |||||||||||||||
51 | EXTENDED LEAVE OF ABSENCE: 30/10/23 - 07/01/24 | |||||||||||||||
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55 | 19b. REMARKS | |||||||||||||||
56 | BTZ PROMOTION (SPECIALIST) - 07/05/23 | |||||||||||||||
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60 | PART IV - DISCHARGE DATA | |||||||||||||||
61 | 20a. TYPE OF DISCHARGE | b. EFFECTIVE DATE | DAY | MONTH | YEAR | |||||||||||
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63 | c. REASON AND AUTHORITY | |||||||||||||||
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65 | 21. LAST DUTY ASSIGNMENT AND MAJOR COMMAND | 22. CHARACTER OF SERVICE | 23. PROXY | 24. REENLISTMENT CODE | ||||||||||||
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67 | PART V - AUTHENTICATION | |||||||||||||||
68 | 25. TYPED NAME, GRADE, AND TITLE OF AUTHORIZING OFFICER | 26. SIGNATURE OF OFFICER AUTHORIZED TO SIGN | ||||||||||||||
69 | CPT JAKE KEYES, COMMANDING OFFICER | |||||||||||||||
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