PRIVACY ACT STATEMENT THE AUTHORITY TO (隐私法声明的权力).pdf

PRIVACY ACT STATEMENT THE AUTHORITY TO (隐私法声明的权力).pdf

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PRIVACY ACT STATEMENT THE AUTHORITY TO (隐私法声明的权力)

SPECIAL REQUEST/AUTHORIZATION SUPPORTING DIRECTIVE MILPERSMAN ARTICLES 1810-010 AND 1810-040 PRIVACY ACT STATEMENT THE AUTHORITY TO REQUEST THIS INFORMATION IS CONTAINED IN 5 USC 301, AND FRIM E.O. 9397 DEPARTMENTAL REGULATIONS. THE PRINCIPLE PURPOSE OF THE INFORMATION IS TO ENABLE YOU TO MAKE KNOW YOUR DESIRE FOR ITEMS LISTED OR FOR SOME OTHER SPECIAL CONSIDERATION OR AUTHORIZATION. THE INFORMATION WILL BE USED TO ASSIST OFFICIALS AND EMPLOYEES OF THE DEPARTMENT OF THE NAVY IN DETERMINING YOUR ELIGIBILITY FOR AND APPROVING OR DISAPPROVING THE SPECIAL CONSIDERATION OR AUTHORIZATION BEING REQUESTED. COMPLETION OF THE FORM IS MANDATORY, FAILURE TO PROVIDE REQUIRED INFORMATION MAY RESULT IN DELAY IN RESPONSE TO OR DISAPPROVAL OF YOUR REQUEST. NAME: RATE: SSN (LAST 4 DIGITS): SHIP OR STATION: DATE OF REQUEST: DEPARTMENT/DIVISION: DUTY SECTION/GROUP: NATURE OF REQUEST: SPECIAL COMMUTED OTHER LEAVE SPECIAL PAY LIBERTY RATIONS (BELOW) NO. OF DAYS REQUESTED: FROM (DATE AND TIME): TO (DATE AND TIME): DISTANCE (MILES) : MODE OF TRAVEL: CAR AIR TRAIN BUS LEAVE ADDRESS:

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