DIVO Record Sheet

SUPPORTING DIRECTIVE OPNAVINST 3120.32C
FILLABLE FORM
DIVISION OFFICER'S PERSONNEL RECORD FORM
Privacy Act
AUTHORITY:
Authority to request the information in this form is derived from 5 U.S.C. 301, Department Regulations.
PURPOSE:
Purpose of this form is to provide the Division Officer with readily accessable data concerning personnel in his/her division.
ROUTINE USES: The information is used by the Division Officer to manage and administer his/her personnel; to determine training needed; to record
training completed; to maintain readily accessible data concerning performance, work assignment, and other personnel data to enable the Division
Officer to guide and counsel those assigned to him/her.
DISCLOSURE: Disclosure of the following items of information on this form is manadatory; name, rate, last 4 digits of SSN, local address and phone
number (if applicable), workcenter/berthing/bunk number (if applicable). Disclosure of the following items of information is voluntary; reenlistment
intentions, rate desired, special qualifications, name of spouse, names and ages of children. Other items of informationmay be obtained from member's
service record. Failure to provide those required items of information listed above may result in administrative action being taken; no action will be
taken if the individual refurses to disclose those voluntary items of information.
2. RATE:
1. NAME (LAST, FIRST, MIDDLE):
3. SSN (LAST 4):
4.
5. NEC/PRI/SEC
USN
USNR
6. DEPT/DIV:
7. WORK CENTER:
8. DUTY SECTION:
11. DATE OF BIRTH:
12. RELIGIOUS PREFERENCE:
14. ADBD:
15. DATE REPORTED:
9. BERTHING:
10. BUNK/LOCKER NUMBER:
13. SECURITY CLEARANCE/ACCESS
16. PRD
17. EAOS:
18. U.S. CITIZEN:
YES
19. GENERAL QUARTERS STATION:
20. UNDERWAY WATCH STATION:
NO
21. PHYSICAL READINESS TEST:
22. SPECIAL QUALIFICATIONS OR INTERESTS:
23. PERMANENT HOME ADDRESS AND TELEPHONE NUMBER:
24. LOCAL ADDRESS AND TELEPHONE NUMBER:
26. NUMBER OF DEPENDENS:
25. MARITAL STATUS:
27. NAME OF SPOUSE:
IS SPOUSE MILITARY?
YES
NO
28. NAMES AND AGES OF CHILDREN:
29. PRIMARY NEXT OF KIN:
30. RELATIONSHIP:
31. PRIMARY NEXT OF KIN'S ADDRESS AND TELEPHONE NUMBER:
32. PREVIOUS DUTY
DATE REPORTED
UNIT
DIVISION
NAVPERS 1070/6 (REV. 06-07) S/N: 0107-LF-127-5400
DESCRIPTION OF DUTY:
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DIVISION OFFICER'S PERSONNEL RECORD FORM (CONTINUED)
33. FORMAL EDUCATION
HIGH SCHOOL
9
10
COLLEGE
11
12
1
2
MAJOR
3
4
PART II
PART I
HIGH SCHOOL GED
COLLEGE CLEP
PART III
PART IV
PART V
34. ASVAB SCORES
FORM 5/6/7
FORM 8/9/10
FORM 11/12/13
GI
NO
AD
WK
AR
SP
MK
EI
MC
GS
SI
GS
AR
WK
PC
NO
CS
AS
MK
MC
EI
VE
GS
AR
WK
PC
MK
EI
AS
MC
AO
VE
CD
AI
35. SHIPBOARD QUALIFICATIONS (DATES QUALIFIED)
GENERAL PQS
DAMAGE CONTROL
3-M
FIRE FIGHTING
SHIP CLASS
REQUAL DC SHIP CLASS
36. PERFORMANCE TRAITS
EVALUATION
DATE
PROFESSIONAL
KNOWLEDGE
QUALITY
OF WORK
EQUAL
OPPORTUNITY
MILITARY
PERSONAL JOB
BEARING/ ACCOMPLISHMENT/ TEAMWORK
CHARACTER
INITIATIVE
LEADERSHIP
(OPTIONAL FOR
E1-E3)
37. NAVY-WIDE EXAMINATION ELIGIBILITY (ENTER DATE COMPLETED OR OTHER REQUIRED DATA THAT SHOWS COMPLETION)
DATE OF PRESENT RATE:
ELIGIBLE FOR NEXT RATE:
YES
EVALUATION
RECOMMENDATION
PROPER
PATH OF
ADV
NAVPERS 1070/6 (REV. 06-07)
"A" or "C"
SCHOOL
DATE ELIGIBLE FOR NEXT RATE:
NO
PERFORMANCE ENLISTED
WARFARE
TEST
S/N: 0107-LF-127-5400
REGA
NLTC
FOR OFFICIAL USE ONLY Reset Form
PRIVACY SENSITIVE
PFA
CLEARANCE CITIZENSHIP
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DIVISION OFFICER'S PERSONNEL RECORD FORM (CONTINUED)
38. NAVAL EDUCATION RECORD
SERVICE SCHOOLS
DATE
COMPLETED
TITLE
GRADE
DATE
COMPLETED
GRADE
TITLE
DATE
COMPLETED
GRADE
TITLE
DATE
COMPLETED
GRADE
TITLE
MILITARY CORRESPONDENCE COURSES
DATE
COMPLETED
TITLE
GRADE
COLLEGE/OTHER SCHOOLS
DATE
COMPLETED
TITLE
GRADE
39. AWARDS AND COMMENDATIONS:
40. COMMENTS (GOALS, EXPECTATIONS, OBJECTIVES AND OTHER COMMENTS):
NAVPERS 1070/6 (REV. 06-07)
S/N: 0107-LF-127-5400
FOR OFFICIAL USE ONLY Reset Form
PRIVACY SENSITIVE
Print Form
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