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Published byMason O'Keefe Modified over 11 years ago
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27TH TRANSPORTATION BATTALION (MC)
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BRIAN F. WATERS LTC, TC Commanding
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27TH TRANSPORTATION BATTALION (MC) STEP BY STEP
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BAR TO REENLISTMENT PROCEDURES (REFERENCE: AR 601-280, Chapter 8) 27TH TRANSPORTATION BATTALION (MC)
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BAR TO REENLISTMENT PROCEDURES CONTINUED 27TH TRANSPORTATION BATTALION (MC)
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MARCH CREDITS HHC, MCT CDR FILLS OUT IN BLUE BN CDR FILLS OUT IN GREEN SOLDIER FILLS OUT IN RED
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DATE BAR TO REENLISTMENT CERTIFICATE For use of this form, see AR 601-280, the proponent is DCSPER THRU: (include ZIP Code) TO: (include ZIP Code) FROM: (include ZIP Code) SECTION 1 - COMMANDERS RECOMMENDATION Under the provisions of Chapter 6, AR 601-280, I recommend the soldier named below be barred from reenlistment in the United States Army for the reasons indicated in item (s) 7 through 10 as may be applicable. Prior to submission of this recommenmdation the soldier was counseled by the undersigned about his undesirable traits which are the basis for this action. The soldier has been counseled and advised of the adverse consequences that may ensue from this or simular action. 1. NAME (Last, First, Middle) 2. SSN3. RANK 4. ETS5. DEROS6. TOTAL ACTIVE SERVICE COMPUTED FROM BASD TO ETS YRSMOSDAYS 7. RECORD OF COURT MARTIAL CONVICTIONS (indicate date adjudicated and approved, type, offense, sentence.) 8. RECORD OF NON-JUDICIAL PUNISHMENT (Article 15) (indicate date, article, specific offense, sentence.) 9. RECORD OF NON-PAYMENT OF JUST DEBTS (indicate dates of letters of indebtedness, counseling, and results) 10. OTHER FACTUAL AND RELEVENT INDICATORS OF UNTRAINABILITY OR UNSUITABILITY TYPED NAME, RANK AND BRANCH OF COMMANDER SIGNATURE DA FORM 4126 - R, MAY 88 EDITION OF SEP 85 IS OBSOLETE DOE, JOHN JOE 000-00-0000 SGT Cdr, 27th Trans Bn APO AE 09096 Cdr, HHC, 27th Trans Bn APO AE 09096 SGT JOHN JOE DOE HHC, 27th Trans Bn APO AE 09096 Current Date *** LIST IF ANY…..IF NONE STATE NONE IN THIS BLOCK 980714 - LETTER OF INDEBTEDNESS - AAFES 980815 - RETURNED CHECK - TKS CABLE COMPANY 980919 - GERMAN COURT SUMMONS - UNPAYED TRAFFIC TICKET 981001 - RETURNED CHECK - AAFES CAR RENTAL 981112 - NOTIFICATION OF CLOSED BANK ACCOUNT - NATIONS BANK 980617 - LETTER OF REPRIMAND -COMPANY COMMANDER 980712 - COUNSELING STATEMENT - INSUBORDINATION 980801 - COUNSELING STATEMENT - ABSENT FROM PLACE OF DUTY 981005 - COUNSELING STATEMENT - FAILURE TO REPAIR 981215 - COUNSELING STATEMENT - MISSING MOVEMENT WESTPOINT, WENTTO CPT, TC WENTTO WESTPOINT COMPANY GRADE - 981215 - ART # 92 -FAILURE TO OBEY ORDER - 14 DAY EXTRA DUTY 14 DAY RESTRICTION FORFIETURE OF PAY 7 DAYS
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SECTION II - SOLDIERS REVIEW (Check and initial as Appropriate) 1. I have been furnished a copy of my Commanders recommendation (Sec I) to bar me from further reenlistment. 2. I have been counseled and advised of the basis for this action. 3. I do do not desire to submit a statement on my behalf. (If applicable, Make statement - use continuation sheet per AR 340-15, if required.) See attached continuation statement (If applicable). TYPED NAME, RANK, SSN SIGNATURE DATE SECTION III - BATTALION OR NEXT HIGHER COMMAND TO: (include ZIP Code) FROM: (include ZIP Code) I have reviewed Sections I and II and Recommend the soldier be barred from reenlistment The bar certificate is disapproved. The bar certificate is approved. The unit commander will officially counsel the soldier in writing on the implications on this actionand the soldiers rights to appeal. After counseling, one copy will be provided to thwe soldier and the original will be forwarded to the servicing PSC for posting filing in the soldiers MPRJ. TYPED NAME, RANK, AND BRANCH SIGNATURE OF OFFICER DATE SECTION IV - COUNSELING 1. The Bar to Reenlistment initiated against you was approved on _______________________________________________. 2. You have the right to appeal the imposition ot the Bar to Reenlistment. If you elect to appeal you must submit the appeal within 7 days from today. 3. Check and initial the appropriate block to indicate your option: I will appeal the Bar to Reenlistment I will not appeal the Bar to Reenlistment TYPED NAME AND RANK SIGNATURE OF SOLDIER DATE TYPED NAME AND RANK SIGNATURE OF COMMANDER DATE Reverse of DA Form 4126 - R, MAY 88 2 JOHN JOE DOE DOE, JOHN JOE SGT 000-00-0000 JOHN JOE DOE Current Date JOHN JOE DOE DOE, JOHN JOE SGT JOHN JOE DOE WESTPOINT, WENTTO CPT WENTTO WESTPOINT JJD Reflect Date Signed by BN CDR JJD JJD JJDJJD NAILS, HARD AS LTC, TC HARD AS NAILS HAN Cdr, 27th Trans Bn APO AE 09096 Cdr, HHC, 27th Trans Bn APO AE 09096
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