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Registration

JDS Quota Submission

PERSONAL INFORMATION

1. LAST NAME: *

2. FIRST NAME: *

3. RATE: *

CONTACT INFORMATION

5. WORK E-MAIL ADDRESS: *

6. WORK TELEPHONE NUMBER: *

7. PERSONAL TELEPHONE NUMBER:

8. PERSONAL E-MAIL ADDRESS:

9. COMMAND: *

TRAVEL

10. TRAVEL START DATE *

11. TRAVEL END DATE *

12. JDS SESSION *

13. MODE OF TRAVEL: *

14. ARE YOU TAKING LEAVE IN CONJUNCTION WITH THIS TRAVEL? *

Yes No

15. ARE YOU ATTENDING OTHER JAGC EVENT IN CONJUNCTION WITH THIS TRAVEL? *

Yes No

(e.g. VLC symposium, DSO symposium, etc)

APPROVAL

16. NAME (LAST, FIRST): * "CO” or “supervisory attorney

17. RANK * "CO” or “supervisory attorney

18. TITLE * NLSC CO, FJA, Division Director

19. TELEPHONE NUMBER: *

20. WORK E-MAIL ADDRESS: *

21. MY COMMANDING OFFICER APPROVES THIS REQUEST: *

Yes No

PRIVACY ACT STATEMENT

AUTHORITY: 5 U.S.C. 301 and E.O. 9397
PRINCIPLE PURPOSE: To determine quota allocation/adjudication for the JAG Corps Development Symposium.
ROUTINE USES: In addition to those disclosures generally permitted under 5 U.S.C. 552(b) of the Privacy Act, these records or information contained therein may specifically be disclosed outside the DoD pursuant to the DoD "Blanket Routine Uses" that appear at the beginning of the Navy's compilation of systems of records notices.
DISCLOSURE: Is voluntary, however, failure to furnish the information requested may result in the denial of a course quota.

DEV

Navy JAG Corps Judge Advocate General's Corps

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Registration

JDS Quota Submission

PRIVACY ACT STATEMENT