The DD Form 4651, known as the Request for Reserve Component Assignment or Attachment, plays a crucial role in managing the careers of reservists within the U.S. military. Governed by AR 140-10, with the DCS, G-1 as the proponent agency, this document facilitates the seamless transfer of reservists between units, addressing the administrative needs essential for maintaining military personnel readiness and allocation. The form captures detailed personal information, including the Social Security Number (SSN), which is mandatory due to authority vested by 10 U.S.C. 3012. Its primary purpose is to document transfers and attachments while ensuring meticulous record maintenance and statistical compilation. This comprehensive form includes sections that outline the reservist's personal information, the requested action for assignment, attachment, or transfer, and details from both gaining and losing units, thereby streamlining the process of reassignment within the Reserves. Such deliberate organization underscores the form's significance in sustaining the operational capabilities of the Reserve Components by enabling personnel adjustments that align with strategic needs and individual career development.
| Question | Answer |
|---|---|
| Form Name | DA 4651 Example Form |
| Form Length | 1 pages |
| Fillable? | No |
| Fillable fields | 0 |
| Avg. time to fill out | 15 sec |
| Other names | army 4651, 4651 army form, examples of da 4651, dd 4651, da 4651 example form 2022, da 4651 , da 4651 2022 |
REQUEST FOR RESERVE COMPONENT ASSIGNMENT OR ATTACHMENT
For use of this form, see AR
DATE (YYYYMMDD)
20111203
1. TO:
COMMANDER, HUMAN RESOURCES COMMAND ATTN: IMA PROGRAM
1600 SPEARHEAD DIVISION AVE FORT KNOX, KY 40121
2. FROM:
COMMANDER
U.S. ARMY JAPAN /
PRIVACY ACT STATEMENT
Authority for collecting personal information and social security number is 10 U.S.C. 3012. Disclosure by member is mandatory. Principal purpose is to transfer Reservist between units. Routine uses: To document transfer and attachment actions.
The SSN is used for maintenance of records and compiling statistics.
3. NAME AND CURRENT ADDRESS
DOE, JOHN E.
123 EASY ST SMALLVILLE, OH 01234
a. SSN
b. HOME TELEPHONE NUMBER |
(AREA CODE) |
|
|
c. OFFICE TELEPHONE NUMBER |
(AREA CODE) |
d. GRADE |
e. DOR |
f. BRANCH |
g. SSI/PMOS |
h. PEBD |
03 |
01JAN2010 |
IN |
11A |
19930101 |
|
|
|
|
|
i. RYE |
j. ETS |
k. SEX |
l. HEIGHT & WEIGHT |
m. DOB |
25MAR |
20210101 |
M |
6'0/ 185 |
28JUL2011 |
|
|
|
|
|
n. TYPED NAME. GRADE AND SIGNATURE OF RESERVIST
DATE
(YYYYMMDD)
20111203
4. ACTION
a. VOL ASGMT
b.ATTACHMENT
c.RELIEVED FROM ATTACHMENT
d. EFFECTIVE DATE (YYYYMMDD)
20111203
e. AUTHORITY AND REASON FOR TRANSFER
AR
5. REQUEST ASSIGNMENT / ATTACHMENT / TRANSFER TO: |
UIC W0ATAA |
a. AUTOVON NUMBER |
|
||
HQ U.S. ARMY JAPAN, Unit 45005 |
|
|
|||
|
|
|
|
||
CAMP ZAMA, JAPAN |
|
|
|
b. INPUT STATION NUMBER |
|
APO, AP 96343 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
c. UNIT PAYROLL NUMBER |
|
|
|
|
|
|
|
d. TOE / TD |
e. PARA |
f. LINE |
g. POSITION TITLE |
h. DUTY MOS |
i. GRADE AUTHORIZED |
MOBTDA |
111 |
11 |
OPERATIONS OFF |
11A |
03 |
|
|
|
|
|
|
j. TYPED NAME, GRADE, TITLE AND SIGNATURE OF GAINING UNIT CDR |
DATE (YYYYMMDD) |
|
|||
|
|
|
|
||
6. UNIT RELIEVED FROM ASSIGNMENT / ATTACHMENT |
UIC |
a. AUTOVON NUMBER |
|
||
U.S. Army Reserve Command (IRR - Control Group) |
|
|
|
||
ATT: |
|
|
|
b. INPUT STATION NUMBER |
|
1600 Spearhead Division Avenue |
|
|
|
|
|
Ft Knox, KY 40122 |
|
|
|
|
|
|
|
|
c. UNIT PAYROLL NUMBER |
|
|
|
|
|
|
|
|
d. TYPED NAME, GRADE, SIGNATURE OF LOSING UNIT COMMANDER
DATE (YYYYMMDD)
7. INCLOSURES
a. ORDER
c. DD FORM 214
e. OTHER
b. DD FORM 4
d. MPRJ
8. REMARKS
DA FORM 4651, AUG 2005 |
EDITION OF SEP 81 IS OBSOLETE. |
APD PE v1.00ES |