Da Form 5160 PDF Details

The Department of the Army Form 5160 is a document used to provide the United States Army with an in-depth snapshot of your education and experience. This form is also required if you are seeking a commission through one of the Officer Candidate Schools. In order to complete the form, you will need to provide information on your academic history, work experience, awards and recognitions, and other qualifications. Completing this form accurately is critical, as it can help speed up the commissioning process. Let's take a closer look at how to fill out DA Form 5160.

QuestionAnswer
Form NameDa Form 5160
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other names2009, G-1, AFCT, da form 5160 fillable pdf

Form Preview Example

TEST ADMINISTRATION STATEMENT

For use of this form, see AR 611-5; the proponent agency is DCS, G-1.

FOR IN-SERVICE EXAMINEES ONLY

1.

NAME OF EXAMINEE

 

2.

AKO ID

3.

RANK

4.

DATE (YYYYMMDD)

 

 

 

 

 

 

 

 

 

5.

UNIT OF ASSIGNMENT

 

 

 

6.

NAME OF TEST OR BATTERY

 

 

 

 

 

 

 

 

7.

NAME OF TEST EXAMINER

 

8.

TEST SITE LOCATION

 

 

9.

TEST ACCOUNT ID

 

 

 

 

 

 

 

 

 

10.I understand that I am not required to take the above named test, this date, provided that there are extenuating circumstances such as fatigue, illness, emotional distress, family, or financial problems, etc., which may interfere with my performance in the test; and that the test will be administered at another time acceptable to me, the Test Control Officer concerned, and my unit commander.

I AM PHYSICALLY AND MENTALLY ABLE TO BE TESTED THIS DATE.

I AM NOT PHYSICALLY AND OR MENTALLY ABLE TO BE TESTED THIS DATE. I WILL BE ADMINISTERED THIS TEST AT ANOTHER TIME.

11.I certify that I am eligible to take this test because:

I HAVE NOT TAKEN A DLPT IN THIS LANGUAGE WITHIN THE LAST SIX MONTHS AS PER AR 611-6.

I HAVE NOT TAKEN THE DLAB WITHIN THE LAST SIX MONTHS, NOR ACHIEVED A SCORE OF 95 OR HIGHER ON A PREVIOUS DLAB TEST, NOR HAVE I TAKEN MORE THAN TWO DLAB TESTS.

I HAVE NOT TAKEN THE AFAST WITHIN THE LAST SIX MONTHS, NOR ACHIEVED A SCORE OF 90 OR ABOVE ON PREVIOUS AFAST TEST, NOR HAVE I TAKEN MORE THAN ONE AFAST TEST.

I HAVE NOT TAKEN THE ASVAB OR THE AFCT WITHIN THE LAST SIX MONTHS, NOR HAVE I TAKEN MORE THAN THREE AFCT TESTS.

I HAVE NOT TAKEN THIS ARMY PERSONNEL TEST WITHIN THE LAST SIX MONTHS AS PER AR 611-5.

- OR -

I HAVE BEEN GRANTED AN EXCEPTION TO POLICY TO RETEST WITHIN SIX MONTHS LIMITATION AND HAVE PROVIDED A COPY OF THE EXCEPTION TO THE TEST CONTROL OFFICER.

Further, I understand that making a false statement on this form may subject me to criminal prosecution under the provisions of Article 107, Uniform Code of Military Justice, or section 1001, Title 18, U.S. Code.

12. SIGNATURE OF EXAMINEE

13. SIGNATURE OF EXAMINER

14.DATE (YYYYMMDD)

DA FORM 5160, SEP 2009

PREVIOUS EDITIONS ARE OBSOLETE.

APD LC v1.00ES

How to Edit Da Form 5160 Online for Free

When working in the online PDF tool by FormsPal, you are able to complete or modify 00ES right here and now. In order to make our tool better and less complicated to use, we continuously work on new features, with our users' feedback in mind. Here is what you would want to do to begin:

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This PDF doc will involve some specific details; in order to ensure accuracy, please make sure to take into account the tips hereunder:

1. Start completing your 00ES with a group of major blank fields. Get all the important information and make certain not a single thing left out!

Ways to fill in da 5160 step 1

2. The next part is to fill in these fields: I HAVE NOT TAKEN A DLPT IN THIS, I HAVE NOT TAKEN THE DLAB WITHIN, I HAVE NOT TAKEN THE AFAST WITHIN, I HAVE NOT TAKEN THE ASVAB OR THE, I HAVE NOT TAKEN THIS ARMY, I HAVE BEEN GRANTED AN EXCEPTION, and Further I understand that making a.

Stage no. 2 for filling in da 5160

3. In this particular part, look at SIGNATURE OF EXAMINEE, SIGNATURE OF EXAMINER, DATE YYYYMMDD, DA FORM SEP, PREVIOUS EDITIONS ARE OBSOLETE, and APD LC vES. These will have to be completed with utmost focus on detail.

Best ways to complete da 5160 stage 3

It is possible to make a mistake while filling in your SIGNATURE OF EXAMINEE, so make sure to go through it again prior to deciding to send it in.

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