In the meticulous orchestration of military logistics and operations, the utility and management of government vehicles stand as a critical facet, underscored by the necessity for a standardized procedure to ensure that only qualified individuals operate such assets. The NAVMC 10964 form, known as the Application for Government Vehicle Operator's Permit, emerges as an essential document in this context. Its comprehensive layout is designed to streamline the application process for military personnel aspiring to operate government vehicles, thereby ensuring operational efficiency and safety. Through a series of sections, the form meticulously gathers personal information, driving history, and the results of various qualification tests ranging from physical and vision exams to specific driving skills assessment. Furthermore, it outlines the process for license action, including the issuance of new licenses, renewals, upgrades, or duplicates, and also delineates the classes of vehicles and special qualifications of the applicant. This form embodies a crucial mechanism in maintaining the professionalism and competency of vehicle operators within military operations, signifying its role not just as a bureaucratic necessity but as a cornerstone of operational readiness and safety.
Question | Answer |
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Form Name | Navmc 10964 Form |
Form Length | 2 pages |
Fillable? | No |
Fillable fields | 0 |
Avg. time to fill out | 30 sec |
Other names | navmc 10964 updated, dod 11240 7800 fill, where to file form mvd 10964, dod form 10964 |
APPLICATION FOR GOVERNMENT VEHICLE OPERATOR'S PERMIT (11240)
NAVMC 10964 (REV. 296) (EF) (Previous editions are obsolete)
SN: 0109LF0647800 (Supersedes NAVFAC FORM 911240/10 FOR USMC use.)
PART I APPLICATION
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1. NAME (LAST, FIRST, MIDDLE) |
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2. RANK |
3. SSN |
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4. ORGANIZATION |
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5. SEX |
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6. HEIGHT |
7. WEIGHT |
8. EYE COLOR |
9. HAIR COLOR |
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10. PLACE OF BIRTH |
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11. DOB |
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PAST DRIVING RECORD |
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STATE OF ISSUE |
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13. LICENSE NUMBER |
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14. ISSUE DATE |
15. EXP. DATE |
16. CLASS OF VEHICLE |
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17. |
COMMANDING OFFICER'S SIGNATURE |
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I RECOMMEND THAT THIS INDIVIDUAL BE EXAMINED FOR |
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QUALIFICATION TO HOLD THE OF 346 |
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(Signature) |
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(Date) |
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PART II EXAMINATION |
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18. |
QUALIFICATION TESTS (CHECK) |
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TEST |
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SAT |
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UNSAT |
TEST |
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SAT |
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UNSAT |
TEST |
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SAT |
UNSAT |
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PHYSICAL |
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HEARING |
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VISION |
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WRITTEN |
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REACTION TIME |
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SKILL |
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ROAD |
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DIRT/CROSS COUNTRY |
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SPECIAL QUALIFICATION |
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19. RESTRICTIONS: (List) |
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CHECK HERE IF NONE |
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PART III LICENSE ACTION |
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20. |
CATEGORY (Check One) |
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21. CLASS OF LICENSE (Check all that apply) |
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NEW |
RENE |
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UPGRADE |
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DUPLICATE |
COMMERCIAL |
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TACTICAL |
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BUS |
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TRACTOR |
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22.CLASSES OF VEHICLES (Check all that apply)
SEDANS/STATION WAGONS |
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TRUCKS TO |
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TON |
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TRUCKTRACTOR TO |
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TON |
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BUSSES TO |
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PASS |
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23. SPECIAL QUALIFICATIONS:
SEMITRAILER REFUELER
EMERGENCY VEHICLE
RECOVERY VEHICLE
TRUCK WITH FULL TRAILER
HAZARDOUS MATERIALS
OTHER (SPECIFY)
24. VEHICLE/EQUIPMENT CLASSES QUALIFIED TO OPERATE LIST:
25. SIGNATURE OF LICENSING EXAMINER |
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I CERTIFY THAT THIS INDIVIDUAL IS QUALIFIED TO OPERATE |
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THE ABOVE LISTED EQUIPMENT. |
(Signature) |
(Date) |
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26. LICENSE # ISSUED
27. DATE ISSUED
28. EXPIRATION DATE
29. SIGNATURE OF LICENSING OFFICER
DATE
PART IV RECORDING ACTION
30. RECORDING OFFICER'S SIGNATURE |
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I CERTIFY THAT ALL THE INFORMATION IN BLOCKS 19, 20, 23, 24, 26, |
27, |
AND 28 HAVE BEEN ENTERED ON PAGE 11 OF THE INDIVIDUAL'S SRB/OQR |
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SIGNATURE
DATE
Designed Using FormFlow 2.15, HQMC/ARAE, Apr 98