Ngb 62E Form – Fill Out and Use This PDF

APPLICATION FOR FEDERAL RECOGNITION AS AN ARMY NATIONAL GUARD OFFICER OR WARRANT OFFICER

AND APPOINTMENT AS A RESERVE COMMISSIONED OFFICER OR WARRANT OFFICER OF THE ARMY

IN THE ARMY NATIONAL GUARD OF THE UNITED STATES

The proponent agency in ARNG-HRP-R. The prescribing directive is NGR (AR) 600-100 and NGR (AR) 600-101.

Handwritten form will not be accepted. Each item must be completed. Annotate "None" where applicable.

PRIVACY ACT STATEMENT

AUTHORITY: Title 32 USC 307, Title 10 USC 10204, Executive Order 9397.

PURPOSE: To apply for Federal Recognition as an Army National Guard Officer or Warrant Officer, and appointment as a Reserve Commissioned Officer or Warrant Officer of the Army in the Army National Guard of the United States. The original will be maintained in the Soldier's Official Military Personnel File or electronically filed in a DoD approved system. A copy will be maintained by the MILPO for state records. For organizational use only.

ROUTINE USES: None.

DISCLOSURE: Voluntary; However, if individual does not provide the information requested by the Board, Federal Recognition may be denied.

THRU: (State Adjutant General)

TO: Chief, National Guard Bureau, Attn: ARNG-HRH-A, 111 South George Mason Drive, Arlington, VA 22204-1382

SECTION II

In connection with the application, I submit the following information, which I certify to be correct to the best of my knowledge.

1. Permanent Home Address: (Street, City, County, State, Zip)

5.List number and relationship of dependent's:

6.List nearest relative, relationship, and address:

7.Marital Status: (Single, Married, Widowed, Divorced)

8.List present occupation, years experience, employer name and address: (If self-employed, list business address)

9.List additional experience and years of same:

10.List any memberships in professional societies:

11.List any decorations, citations, and commendations: (Attach copies)

12.Are you at present a member of any component of the Armed Forces? (If yes, list grade, branch, component, organization, and aeronautical rating held, if any)

13. Have you ever been rejected for military service or appointment as a Commissioned or Warrant officer?

14.Have you ever been separated from the military by reason of reclassification, board action, or have resigned in lieu of reclassification, board action or court martial proceedings? (If yes, give date, place, and details.)

15.Have you ever been court martialed? (If yes, give date, place, charge, and final disposition.)

SECTION III

1.High School: (List name of school, city & state, year graduated. If GED completed, attach copy of certificate.)

2.College: (List name of college, city & state, dates attended, and degree program or course attended) (Graduated? Yes or No)

3.Service Schools: (List name of school, city & state, dates attended, and course attended) (Graduated? Yes or No)

4. Army Extension Courses: If completed, attach copy of certificate. (List name of school, phase or series number, and course completion date.)

SECTION IV

Chronological statement of Active Federal Service, to include Army, Navy, Air Force, Marine Corps, Coast Guard,

National Guard in Federal Service, and Reserve Officer on Active Duty.

Chronological statement of Military Service other than above, to include Army, Navy, Air Force, Marine Corps Reserve, and National Guard not in Federal Service, Cadet at U.S. Military Air Force or Coast Guard Academy, Midshipsman at U.S. Naval Academy, Student in ROTC, and Service in Military Forces of Foreign Countries.

REMARKS

APPLICANT SIGNATURE

ENDORSEMENT

Endorsement prepared by organization Commander:

Approval recommended. The statements of the applicant have been verified as far as practicable and are considered to be correct.

ENDORSEMENT

Endorsement prepared by organization Commander:

Approval recommended.

ENDORSEMENT

From: The Adjutant General, State of

To: The President of the Examining Board.

Appointed by paragraph:Orders Number:Dated: Headquarters:

Address:

1.It is requested that the applicant be examined under the provisions of Title 32 Section 307 USC, and regulations prescribed thereunder, for the the grade and branch stated in this application.

2.The statement of the applicant has been verified as far as practicable and are considered to be correct.

Enclosures:

ENDORSEMENT

The Adjutant General of

Address:

The examination of the applicant has been completed with the result stated in the proceedings of the board (NGB Form 89) herewith enclosed.

Enclosures:

FINAL ENDORSEMENT

From: The Adjutant General, State of

To: Chief, National Guard Bureau, Attn: NGB-ARP-C, 111 South George Mason Drive, Arlington, VA 22204-1382

1. It is requested that Federal Recognition be extended to:

(Firstname, middle, lastname, social security number, and appointed grade, branch, & date)

(Give specific position and designation of organization assigned to)

per

2.Attach a copy of the order of appointment and completed oath of office (NGB 337) as enclosure.

3.It is further recommended that the request for appointment as a Reserve Officer of the Army National Guard of the United States contained in the basic communication be approved.

Enclosures: (Enumerate)

INSTRUCTIONS

In submitting this form, carefully comply with applicable National Guard regulations. This form will be submitted by the applicant through military channels to the State Adjutant General in sufficient copies to ensure that two completed applications and supporting documentation are received by the National Guard Bureau.

This form will be executed by all candidates for examination under the provisions of Title 32 Section 307 USC. When so executed, it serves for the certified statement of the candidate of their personal and military history as prescribed by National Guard Regulations.

The State Adjutant General will, if the application meets with their approval, issue instructions for the candidate to report to the president of the examining board which has been previously appointed by the Army Commander under the provisions of Title 32 Section 307 USC.

The State Adjutant General will forward the application by endorsement thereon, with all pertinent documentation, to the president of the examining board. Candidates may be ordered before the examining board before appointment, but if examined prior to appointment, the candidate should be appointed as soon as practicable after the successful examination has been completed.

The president of the examining board will, upon completion of the examination, forward the application by endorsement thereon, to the State Adjutant General, transmitting therewith the proceedings of the board (NGB Form 89) with all pertinent documentation.

The State Adjutant General will forward the application by endorsement thereon, to the Chief, National Guard Bureau, transmitting therewith the proceedings of the examining board (NGB Form 89) with all pertinent documentation, and any additional attachments as necessary.