Da 4836 Form PDF Details

Da 4836 form is a Customs and Border Protection declaration form that is used by travelers to indicate the items they are bringing into or out of the United States. The form is also used to declare any merchandise that is being exported from the United States. The 4836 form must be completed prior to arriving at the port of entry, and it should be kept with you throughout your travels. Failure to complete the 4836 form may result in delays or fines. The 4836 form can be downloaded on the Customs and Border Protection website, or you can obtain a copy from your nearest CBP port of entry. Completed forms should be submitted to a CBP officer upon arrival. If you have any questions about completing the 4836 form, please

QuestionAnswer
Form NameDa 4836 Form
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namesform 4836, da 4836, da form 4836, da 4836 form

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OATH OF EXTENSION OF ENLISTMENT OR REENLISTMENT

 

For use of this form, see AR 140-111 (USAR), and NGR 600-200 (ARNG)

 

the proponent agencies are DCS, G-1 and Chief, National Guard Bureau.

 

 

 

DATA REQUIRED BY THE PRIVACY ACT 1974 (5 USC 552a)

 

 

AUTHORITY:

Title 10, USC, Sec 509, Title 32, USC Sec 302(c).

PRINCIPLE PURPOSE(s):

To be used when a member of the ARNG or USAR extends a current enlistment/reenlistment agreement

 

(NGR 600-200/Chapter 3, AR 140-111)

ROUTINE USES:

DISCLOSURE:

Confirmation of obligation and participation requirements, and as a basis for non-participation action if the individual fails to meet participation requirements.

Voluntary, however if member refuses to provide the requested information and sign the form, the member will be released upon normal ETS date. A copy of this form will be retained by the individual.

EXTENSION PROCESSING DATA

1.

THIS IS AN EXTENSION OF ENLISTMENT/REENLISTMENT OF A CURRENT MEMBER OF

 

 

 

ARMY NATIONAL GUARD AND A

A TROOP PROGRAM UNIT OF THE

USAR-ACTIVE GUARD/RESERVE

 

RESERVE OF THE ARMY

US ARMY RESERVE

 

 

 

INDIVIDUAL READY RESERVE

INDIVIDUAL MOBILIZATION AUGMENTEE

 

 

 

 

 

 

 

 

2.

NAME (Last, First, MI)

 

3. GRADE

 

4. DATE (YYYYMMDD)

 

 

 

 

 

 

5.UNIT OF ASSIGNMENT (Include unit designation, address, UIC and ZIP Code)

6.CURRENT (Latest) DD FORM 4 - SERIES

 

 

a. DATE (YYYYMMDD)

 

 

b. TERM OF SERVICE (Years)

 

 

 

 

 

 

 

 

 

c. NUMBER OF EXTENSIONS PREVIOUSLY GRANTED TO CURRENT DD FORM 4

 

 

 

 

 

 

 

 

 

d. ETS

 

 

e. BASIC PAY ENTRY DATE (YYYYMMDD)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

7.

PROVISIONS AND COMPUTATION OF THIS EXTENSION

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(Day)

 

 

 

(Month)

 

(Year(s))

 

 

 

 

a. CURRENT ETS (Extracted from item 6d above)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

b. PERIOD OF THIS EXTENSION

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

c. NEW ETS (Sum of a and b above)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

8.

AUTHORITY AND REASON FOR THIS EXTENSION

 

 

 

 

 

 

 

 

 

 

 

 

TABLERULE

(AR 140-111)

(NGR 600-200)

OATH OF EXTENSION

I do hereby acknowledge this

 

day of

 

,

 

 

 

, that I have voluntarily extended my current

enlistment/reenlistment agreement of

 

 

day of

 

 

,

 

 

, for the period indicated

in item 7b above. I agree to remain a member of the (Army National Guard of

and as a Reserve of the Army) (United States Army Reserve) during the entire period of this extension. I understand this extension will establish my Expiration Term of Service (ETS) date as shown in item 7c.

SIGNATURE

DATE (YYYYMMDD)

OFFICER CERTIFICATION

I certify that the above Oath of Extension was subscribed and duly sworn before me on this

 

day of

 

,

TYPED NAME, GRADE, AND BRANCH OF COMMISSIONED OFFICER*

SIGNATURE OF COMMISSIONED OFFICER*

* Or warrant officer, or any other person so designated to administer oaths under State law, for member of the Army National Guard

NOTE:

ARNG: Original to soldier, 1 copy to State AG (Title 10 AGR Soldiers are responsible for sending a copy to State AG for PERMS).

USAR: (Unit member) Original to appropriate Regional Support Command (RSC) to HRC-Ft. Knox, AHRC-EPF-RR, 1600 Spearhead Division Avenue, Ft. Knox, KY 40122, 1 copy attached to current DD Form 4-series and filed in AMHRR, 1 copy to Defense Joint Military Systems (DJMS), copy for unit member.

(IRR OR IMA MEMBER) Original to HRC-Ft. Knox, AHRC-EPF-RR, 1600 Spearhead Division Avenue, Ft. Knox, KY 401221 copy for IRR or IMA member.

(AGR MEMBER) Original to HRC-Ft. Knox, AHRC-EPF-RR, 1600 Spearhead Division Avenue, Ft. Knox, KY 401221, 1 copy for AGR member.

DA FORM 4836, MAR 2018

PREVIOUS EDITIONS ARE OBSOLETE.

APD AEM v1.01ES

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Completing segment 1 in blank 4836

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