Ae Form 190 1T PDF Details

The Ae Form 190 1T, also known as the Air Force Form 190, is a form used by the United States Air Force to document an individual's military service. The form is used to track an individual's assignments, training, and education. The form can be used to provide proof of military service for benefits or other purposes. The Ae Form 190 1T must be completed in full and signed by the individual being tracked. Any discrepancies or errors may result in delays or denials of benefits. Ensure all information is accurate and up-to-date to avoid any issues.

QuestionAnswer
Form NameAe Form 190 1T
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other names190-1T, ineligibility, AE, USAFE

Form Preview Example

APPLICATION FOR U.S. FORCES POV CERTIFICATE OF LICENSE AND ALLIED TRANSACTIONS

(AE Reg 190-1/USNAVEUR Inst 11240.6T/USAFE Inst 31-202)

DATA REQUIRED BY THE PRIVACY ACT OF 1974

AUTHORITY: Article 9, Supplementary Agreement to NATO SOFA; 10 USC 3012.

PRINCIPAL PURPOSE(S): To evaluate an application for a U.S. Forces privately owned vehicle (POV) certificate of license and to issue a license on establishment of eligibility.

ROUTINE USE(S): a. To verify the licensed status of individuals to both U.S. and foreign law-enforcement, investigative, and administrative authorities, to attorneys representing clients, and to insurance companies.

b. To record elements of an individual’s driving history (e.g., to record suspension or revocation of license or declaration of ineligibility for a license) and, when warranted, to take or recommend appropriate action.

c. For internal locator purposes within the USAREUR Motor Vehicle Registry.

d. To support requests for miscellaneous services submitted by individuals to the USAREUR Motor Vehicle Registry. e. See routine uses set forth in 40 Federal Register 35151.

MANDATORY OR VOLUNTARY DISCLOSURE AND EFFECT ON INDIVIDUAL NOT PROVIDING INFORMATION The disclosure of personal information, including social security number (SSN), is mandatory to obtain a license. Failure to provide any item of the information will result in rejection of the application. Rejection for this reason is necessary since names do not provide an individual with a unique identification.

License number

 

 

 

 

 

 

Effective date

Expiration date

Codes

 

 

 

 

 

 

COMPLETED BY REGISTRY PERSONNEL ONLY

 

 

 

 

 

 

 

 

 

 

 

 

 

1. Rank/grade

2. Name (last, first, MI)

3. Date of birth (YYYYMMDD)

4. Place of birth (city/state/country)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

5. SSN

 

6. U.S. driver’s license number

 

7. German, EU, or NATO license no.

 

8. Sex

 

 

 

 

 

 

 

 

 

 

 

Male

Female

 

 

 

 

 

 

 

 

 

 

 

9. Military mailing address (unit no., box no., and APO no.)

 

 

10. Organ donor

11. Corrective lenses

 

 

 

 

 

 

 

Yes

No

 

Yes

No

 

 

 

 

 

 

 

 

 

 

 

 

 

12. Sponsor’s SSN

13. Sponsor’s name (last, first, MI)

14. Sponsor’s telephone number (DSN)

15.Sponsor’s

rank/grade

16. Sponsor’s military mailing address (unit no., box no., and APO no.)

 

17. Sponsor’s branch of service

 

 

Army

AF

Navy Marine

 

 

Military

 

 

 

 

Civilian

 

 

 

18. Type of application

19. Class of license

20. Restrictions

 

21. Examiner statement

 

 

 

Initial

1

250 CC+

Letter

 

I have examined the applicant IAW AE

 

 

 

 

 

 

 

 

 

 

 

 

 

Replacement

1a

80-250 CC

Medical

 

Reg 190-1/USNAVEUR Inst

 

 

 

 

 

 

 

 

 

 

 

 

 

Addition of class

1b

less than 80 CC & less than 80 kph

Auto trans only

 

11240.6T/USAFE Inst 31-202. The

STATION/STAMP

 

Renewal

2

Truck

Daylight only

 

applicant has satisfactorily passed all

 

 

 

 

 

 

 

 

 

Reinstatement

2

Bus

 

 

required tests.

 

 

 

 

 

 

 

 

 

 

Changes

 

#Passengers

 

 

 

 

 

 

 

3

 

 

21. Examiner’s signature

Date

 

 

 

 

 

 

 

 

 

 

EU or NATO transfer

Auto

 

 

 

 

 

 

 

 

 

 

 

Restriction

4

less than 50 CC & up to 50 kph

 

 

 

 

 

 

 

German transfer

5

less than 50 CC & up to 25 kph

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

22. Applicant statement

 

 

 

 

 

 

 

PAID STAMP

 

 

 

 

 

 

 

 

 

 

 

 

 

 

I am familiar with the provisions of the directives cited above and am qualified for a U.S. Forces POV certificate of license. I am aware that any false or misleading information submitted by me may subject me to administrative and/or disciplinary action. I am familiar with the implied consent provisions of the directives cited above and understand that my U.S. Forces POV certificate of license will be revoked if I refuse to submit to a blood-alcohol test at the request of U.S. military or security police or Navy shore patrol or German police who suspect me to be operating a vehicle while my ability to do so is impaired by alcoholic beverages.

 

Applicant’s signature and date

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

INSTRUCTIONS FOR AE FORM 190-1T

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

23. Test scores and dates for driver testing only

24.

Have you ever been convicted or have/

 

Block 5.

Enter applicant’s social security number (SSN);

 

Military license number

 

 

 

 

 

 

 

 

 

 

had a driver’s license suspended/revoked for

 

 

if no SSN, use passport no., ID card no., or

 

 

 

 

 

 

 

 

 

 

 

 

 

sponsor’s SSN.

 

 

 

 

 

 

 

 

 

 

 

driving under the influence of alcohol

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Block 6.

Enter state and stateside license number; if

 

Date of orientation

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(DUI/DWI) or refusing to consent to a BAC?

 

 

none or not available, enter N/A.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Written test score

 

 

 

 

 

 

 

 

 

 

If yes, where and when?

 

 

Block 7.

Enter German, EU, or NATO license number

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

to be exempted from the road test.

 

Failed version

Failed version

 

 

 

Yes

No

 

 

 

 

 

 

 

Block 10.

Mark “yes” if you wish to be an organ donor;

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Eye test

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

mark “no” if you do not.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Where:

 

 

 

Block 11.

Mark the appropriate box to indicate whether

 

Failed version

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

or not you wear glasses or contact lenses.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Motorcycle written test score

 

 

 

 

 

 

 

 

 

 

When:

 

 

 

 

Block 12-17.

To be completed by all applicants, even if the

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

applicant is the sponsor.

 

Motorcycle proficiency test score

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Block 15.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Enter military sponsor's rank (e.g., SPC, SGT,

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Motorcycle Safety Foundation Card date issued

Applicant’s signature

 

 

MAJ, GS-9), not pay grade.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Block 18-21.

Mark appropriate blocks.

 

Air Force motorcycle course date taken

 

 

 

 

 

 

 

 

 

 

 

 

 

Block 22 & 24.

Sign and date.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

AE FORM 190-1T, DEC 08

Aug 08 edition may be used until stock is exhausted.

VERS. 01.00

Page 1 of 1

 

 

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This PDF form will need specific data to be filled in, hence be certain to take the time to type in exactly what is expected:

1. Complete the AE with a selection of essential blanks. Gather all the information you need and make sure there is nothing overlooked!

The best way to complete 190 portion 1

2. The third stage is to fill in these particular fields: EU or NATO transfer, Restriction, German transfer, Auto, less than CC up to kph, less than CC up to kph, Examiners signature, Date, Applicant statement, PAID STAMP, I am familiar with the provisions, Applicants signature and date, Test scores and dates for driver, Military license number, and Date of orientation.

190 completion process shown (step 2)

It's simple to get it wrong when filling in the Date, for that reason make sure that you reread it prior to deciding to send it in.

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