Da Form 5646 PDF Details

The Department of Defense has released a new form, Da Form 5646, which will be used to collect data on training and qualifications for military service members. The form is designed to help the Department track the progress of each service member, and ensure that they receive the appropriate level of training. The new form will be used in conjunction with the Military Occupational Specialty (MOS) list, which is also being updated. Service members are encouraged to familiarize themselves with the new form and provide accurate information. Failure to do so may result in disciplinary action. Additional information about the new form can be found on the Department's website.

QuestionAnswer
Form NameDa Form 5646
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other namesda form 5646 statement, form 5646 statement agr, da 5646 agr, da 5646 service form

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STATEMENT OF CONDITIONS OF SERVICE - ACTIVE GUARD RESERVE (AGR)

For use of this form, see AR 140-30; the proponent agency is CAR

Information required by the Privacy Act of 1974

AUTHORITY: PRINCIPLE PURPOSE:

ROUTINE USES:

DISCLOSURE:

10 USC 672 (d) and Executive Order 9397, 22 November 1943.

To explain the obligations and conditions that are, or will be, in force for members of the U.S. Army Reserve ordered to active duty with their consent in an Active Guard/Reserve (AGR) status.

Confirmation that the individual understands and agrees to the obligations and conditions that will be incurred upon entry, or continued services on, active duty in an AGR status.

Disclosure of the individual's SSN is voluntary, however, if the SSN is not provided, the soldier may not be ordered, extended, or retained on active duty in an AGR status.

I.APPLICATION

A.All individuals applying for voluntary active duty in an AGR status must read and sign this form.

B.The form shall only be completed once and shall remain in force during the entire period the individual serves on active duty in the AGR program, to include periods of active duty for training (ADT) performed while in the AGR program. Should the individual incur a break in continuous active duty in the AGR program in excess of 48 hours, the form must again be completed upon reentry on active duty in the AGR program.

C.A copy of this form will be given to the individual as a personal copy. A copy will be retained in the individual's Career Management Information File (CMIF), Official Military Personnel File (OMPF), and Military Personnel Records Jacket (MPRJ).

II.ACTIVE GUARD/RESERVE CONDITIONS AND OBLIGATIONS

(The member must place his or her initials in the appropriate block.)

[]

[]

1.I am applying for voluntary order to active duty in an AGR status for an initial AGR tour. If ordered to active duty, I will be stabilized in my initial assignment for the entire term of my initial tour of duty except as described in paragraph 7 below. Should I voluntarily reenlist or extend for the purpose of being renewed or continued on an AGR status, or accept an additional tour, I will be subject to involuntary reassignment based on the needs of the Service.

1.I am currently serving on active duty in an AGR status. I am being processed for an immediate reenlistment or extension to be continued or retained on active duty in an AGR status or have been offered an additional tour. I have never before signed one of these specific agreements. I understand that I am no longer managed under the Long Tour Management Program and, therefore, accept the withdrawal by Department of the Army of any previous agreements I may have accepted under the Long Tour Management Program. I further understand that I will be subject to involuntary reassignment based on the needs of the Service.

(The following provisions are applicable to all personnel signing this form.)

2.I further understand that upon voluntary entry upon active duty in AGR status, or if I am already in an AGR status and being renewed or continued (by reenlistment, extension, or additional AGR tour):

a. I will be subject to the Uniform Code of Military Justice (UCMJ)

b.I will be managed under the rules and regulations governing the USAR AGR centralized management system to include assignments, promotion, and reduction.

c.I will be considered for continuation or renewal on AGR status under the criteria of AR 135-18 and 140-30.

DA FORM 5646, AUG 2010

PREVIOUS EDITIONS ARE OBSOLETE

APD PE v1.00ES

 

3.I am aware that my job assignment may require successful completion of a course, or courses, of instruction by military institutions. Residency at such institutions may require periods of time away from my family and may require that I be placed in an active duty for training (ADT) status during such training.

4.I am aware that my voluntary entry on active duty in an AGR status does not guarantee that I will be offered a subsequent AGR tour or that I will attain 20 years of Active Federal Service for retirement purposes.

5.I am aware that I will be subject to all regulations applicable to Active Component personnel, except as specified in AR 135-18, AR 140-30, and other regulations pertaining to the AGR program.

6.I am aware that I will be subject to involuntary relief from active duty under the provisions of AR 135-18, AR 140-30 and AR 635-100 (officers) or AR 635-200 (enlisted).

7.If entering on my initial AGR tour, I understand that I will not be involuntarily reassigned during that initial tour if such reassignment involves the expenditure of funds, except:

a.In time of war or national emergency declared by the President or by Congress;

b.If the unit or position to which I am assigned or attached is inactivated or relocated; or

c.I am relieved from my duty assignment or attachment for cause. I understand that if I enter on a subsequent AGR

tour I will be subject to paragraph 8 below.

8.If entering on an AGR tour other than my initial AGR tour, I am aware that I may be involuntarily reassigned to meet the needs of the Army at any time.

9.I understand that I will be automatically considered for successive tours of active duty in the AGR program, and this form is also my consent to be ordered to active duty or extended on active duty for those tours if I am selected. I further understand that I may withdraw my consent to a new tour of active duty in writing but must do so within 10 days of receipt of orders to a new tour of active duty or I will be obligated to serve on active duty for the period of that tour.

III. STATEMENT ACKNOWLEDGING CONDITIONS AND OBLIGATIONS

I, the undersigned, acknowledge that I have read and understand all of the conditions and obligations of service as specified on this statement. No other conditions or promises were made to me in conjunction with my entry or continuation in the AGR program.

TYPED OR PRINTED NAME

RANK

DATE SIGNED

SIGNATURE

REVERSE OF DA FORM 5646, AUG 2010

PREVIOUS EDITIONS ARE OBSOLETE

APD PE v1.00ES

 

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