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Form may be mailed in a window envelope. 5720 Integrity Drive Millington TN 38055-0802 NAVPERS 1421/7 Rev. 02-2013 PREVIOUS EDITIONS ARE OBSOLETE. From To Subj DELIVERY OF TEMPORARY/PERMANENT APPOINTMENT Ref a b c OPNAVINST 1811. 3 with the date of rank and effective date 1. Your temporary/permanent appointment to of promulgated by reference a pursuant to the provisions of references b and c is hereby delivered* 2. You will indicate by endorsement hereon whether you accept or decline this appointment. Name Signature FIRST ENDORSEMENT Date Navy Personnel Command PERS-831 Via 1. I the temporary/permanent appointment authorized by reference a. 2. I certify that I understand the provision of reference c. 3. I acknowledge that if I am an active duty member designated as a Limited Duty Officer LDO being promoted to the grade of Lieutenant accepting this promotion constitutes the acceptance of my permanent appointment as an LDO pursuant to reference b. 4. VOLUNTARY OATH I do solemnly reaffirm that I will support and defend the Constitution of the United States of America against all enemies foreign and domestic that I will continue to bear true faith and allegiance to the Constitution and the Country whose course it directs and that I take this obligation freely without any mental reservation* So help me God. SECOND ENDORSEMENT 1. Forwarded* For Official Use Only - Privacy Sensitive Forward original to CNPC address below and one copy to Appointee. From To Subj DELIVERY OF TEMPORARY/PERMANENT APPOINTMENT Ref a b c OPNAVINST 1811. 3 with the date of rank and effective date 1. Your temporary/permanent appointment to of promulgated by reference a pursuant to the provisions of references b and c is hereby delivered* 2. Your temporary/permanent appointment to of promulgated by reference a pursuant to the provisions of references b and c is hereby delivered* 2. You will indicate by endorsement hereon whether you accept or decline this appointment. Name Signature FIRST ENDORSEMENT Date Navy Personnel Command PERS-831 Via 1. You will indicate by endorsement hereon whether you accept or decline this appointment. Name Signature FIRST ENDORSEMENT Date Navy Personnel Command PERS-831 Via 1. I the temporary/permanent appointment authorized by reference a. 2. I certify that I understand the provision of reference c. I the temporary/permanent appointment authorized by reference a. 2. I certify that I understand the provision of reference c. 3. I acknowledge that if I am an active duty member designated as a Limited Duty Officer LDO being promoted to the grade of Lieutenant accepting this promotion constitutes the acceptance of my permanent appointment as an LDO pursuant to reference b. 3. I acknowledge that if I am an active duty member designated as a Limited Duty Officer LDO being promoted to the grade of Lieutenant accepting this promotion constitutes the acceptance of my permanent appointment as an LDO pursuant to reference b. 4. VOLUNTARY OATH I do solemnly reaffirm that I will support and defend the Constitution of the United States of America against all enemies foreign and domestic that I will continue to bear true faith and allegiance to the Constitution and the Country whose course it directs and that I take this obligation freely without any mental reservation* So help me God.

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