You Da 3964 Form Details

The Department of Defense Da Form 3964, also known as the Selective Service System Registration Certificate, is a form used to register for the military draft. All males ages 18 through 25 must complete and submit a Da Form 3964 to the Selective Service System. If you are required to register for the draft, you will need to provide your personal information on the form, along with your signature. Failure to complete and submit a Da Form 3964 may result in penalties including fines and imprisonment.

You can find information regarding the type of form you want to submit in the table. It will show you the length of time you'll need to finish da form 3964, what parts you will have to fill in, etc.

QuestionAnswer
Form NameDa Form 3964
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namesyou da 3964 form, how to form da 3964, da form 3964 word doc, fillable da 3964

Form Preview Example

 

CLASSIFIED DOCUMENT ACCOUNTABILITY RECORD

 

 

 

DATE

 

 

For use of this form, see AR 380-5; the proponent agency is the Office, Assistant Chief of Staff for Intelligence.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

SECTION A - GENERAL

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

TO:

 

 

 

 

 

 

 

FROM:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

DATE RECEIVED

 

ACTION OFFICE(S)

 

 

 

SUSPENSE DATE(S)

 

 

 

REGISTER OR CONTROL NO.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

CONTROL LOG

CLASSIFI-

NUMBER

 

 

DESCRIPTION (Type, File Ref., Unclassified Subject

 

DATE OF

 

ORIGINATOR

OR FILE NO.

CATION

OF COPIES

 

 

 

or Short Title and Number of Indorsements/Incls)

 

 

 

DOCUMENT

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

SECTION B - ROUTING

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

TO

 

COPY NO.

DATE

 

I ACKNOWLEDGE RECEIPT OF THE MATERIAL DESCRIBED HEREON

 

 

 

PRINTED NAME

 

 

 

SIGNATURE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

1.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

2.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

3.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

4.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

5.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

SECTION C - DESTRUCTION CERTIFICATE (Check appropriate block)

 

 

MATERIAL DESCRIBED HEREON HAS BEEN:

 

 

 

 

 

 

 

 

 

 

 

PAGE OR COPY NO

DESTROYED

TORN IN HALF AND PLACED IN A CLASSIFIED WASTE CONTAINER (AR 380-5)

 

 

OFFICE SYMBOL

 

DATE

PRINTED NAME OF CUSTODIAN OR REP

 

 

SIGNATURE

 

 

 

 

 

 

 

 

 

 

DESTRUCTION RECORD NO.

DATE

PRINTED NAME OF CERTIFYING/DESTR. OFF.

 

 

SIGNATURE

 

 

 

 

 

 

 

 

 

 

PAGE OR COPY NUMBER

DATE

PRINTED NAME OF WITNESSING OFFICIAL

 

 

SIGNATURE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

SECTION D - REPRODUCTION AUTHORITY

 

 

 

 

 

 

 

 

 

 

 

 

 

NUMBER OR COPIES TO BE REPRODUCED

AUTHORIZED BY

 

 

DATE

 

 

 

 

 

 

 

 

 

 

 

SECTION E - RECEIPT/TRACER ACTION (Check appropriate block)

 

 

RECEIPT OF DOCUMENT(S) ACKNOWLEDGED

 

 

 

DOCUMENT(S) HAVE NOT BEEN RECEIVED

TRACER ACTION: SIGNED RECEIPT FOR MATERIAL DESCRIBED ABOVE HAS NOT BEEN RECEIVED.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

DATE

 

PRINTED NAME, GRADE OR TITLE

SIGNATURE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

COMMENTS

DA FORM 3964, JUL 79

EDITION OF 1 NOV 72 IS OBSOLETE.

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