1. 9 Jan 15 Ronald W. Reagan Use BLACK INK when completing forms
Make sure you have all documentation

2. Reagan, Ronald W. X X X X X X X X X X X X X X X X X X X X X X
carefully read and complete (“each” block) Front and Back of this Form
***EXAMPLE ONLY***
Reagan, Ronald W. X
02/06/1911 X X
Tampico, IL
University of North Texas
15 May 2018
Economics
Nelle Reagan (mother)
668 St. Cloud
Los Angeles, CA 90077
(123)
(123) X X
Maple Hall, Room 201
1621 Maple Street
Denton, Texas 76201
(123) X X X 26
E-8 X X X X X X X X X X X X X X
See next slide to complete back of form

3. X
DO NOT SIGN OR DATE!

4. Please read thoroughly
DO NOT SIGN OR DATE!

5. Please read thoroughly
DO NOT SIGN OR DATE!

6. Please read thoroughly DO NOT SIGN OR DATE!
Ronald W. Reagan
Please read
thoroughly
DO NOT SIGN
OR DATE!

7. Initial here if you have NO dependentsX
Only Select one
***EXAMPLE ONLY*** RR
“INITIAL”
Each
block RR RR RR
Initial here if you have NO dependents
DO NOT SIGN
OR DATE!

9. DO NOT SIGN OR DATE! Ronald W. Reagan NONE X X
USE THIS SLIDE IF YOU HAVE HAD NO INCIDENTS OR
INVOLVEMENTS WITH CIVIL / SCHOOL / MILITARY AUTHORITIES
OR LAW ENFORCEMENT OFFICIALS
***EXAMPLE ONLY***
(IF YOU HAVE HAD INCIDENTS USE THE NEXT SLIDE)
Ronald W. Reagan
Select only one
Enter the word “NONE” here if you have had NO incidents
or involvements with civil / school / military authorities or
law enforcement officials
NONE X X
DO NOT SIGN
OR DATE!

10. DO NOT SIGN OR DATE! X X USE THIS SLIDE IF YOU HAVE HAD INCIDENTS OR
INVOLVEMENTS WITH CIVIL / SCHOOL / MILITARY AUTHORITIES
OR LAW ENFORCEMENT OFFICIALS
***EXAMPLE ONLY***
(IF YOU HAVE HAD “NO” INCIDENTS USE THE PREVIOUS SLIDE)
Ronald W. Reagan
Select only one
bring documents (copies of tickets, court findings) relating to the major incidents you list
Speeding ticket: speed limit
was 35, I was going 45
18 Mar 07
Fort Worth Police Department
Attended defensive driving, and paid fine of $125.00
TCU Police
24 Sep 05
Parking Ticket
Paid fine of $50.00
Unsafe driving, racing, dui
8 Oct 03
California Odessa Police Department
Suspended License, Paid fine
of $2,500.00 X X
DO NOT SIGN
OR DATE!

11. DO NOT COMPLETE/FILL OUT
BACK OF THIS FORM

12. DO NOT SIGN OR DATE! Read each Section carefully
and answer “TRUTHFULLY”
by “INITIALING” each block
***EXAMPLE ONLY*** RR RR RR RR
DO NOT SIGN OR DATE!

13. DO NOT COMPLETE/FILL OUT
BACK OF THIS FORM
DO NOT SIGN OR DATE!

14. 9 Jan 15
Ronald W. Reagan
DO NOT SIGN OR DATE!

15. Please read thoroughly

16. Please read thoroughly
DO NOT SIGN OR DATE!

17. DO NOT SIGN OR DATE! Ronald, Reagan W. 123-45-6789
Los Angeles, California
DO NOT SIGN OR DATE!

18. Complete blocks 1 – 8b, place “NA” for
those items not applicable to you
***EXAMPLE ONLY***
Ronald, Reagan W. X
N/A X
N/A
Reagan, Jack E
123 Rosewood Dr., Denton, TX (123)
Reagan, Nelle W
123 Rosewood Dr., Denton, TX (123)
N/A

19. DO NOT SIGN OR DATE! (cont. back of DD Form 93) ***EXAMPLE ONLY***
Jack E. Reagan Father Rosewood Dr., Denton,
TX (123)
50%
Nelle W. Reagan Mother Rosewood Dr., Denton,
TX (123)
50%
123 Rosewood Dr., Denton, TX (123)
Nelle W. Reagan Mother
100%
123 Rosewood Dr., Denton, TX (123)
Nelle W. Reagan Mother
(cont. back of DD Form 93)
***EXAMPLE ONLY***
DO NOT SIGN OR DATE!

20. Please Read Thoroughly
DD Form 93 Directions
Please Read Thoroughly

21. Please Read Thoroughly
DD Form 93 Directions
Please Read Thoroughly