Get Form 1746 1993
16 - 21. Self-explanatory. The applicant must sign the DD Form 1746. Enter the date the application was submitted to the Housing Office. DD Form 1746 SEP 93 Previous editions may be used. Adobe Professional 8. 0 PRIVACY ACT STATEMENT AUTHORITY PRINCIPAL PURPOSE ROUTINE USE DISCLOSURE 5 USC 5911 5912. APPLICATION FOR ASSIGNMENT TO HOUSING 1. TYPE SERVICE DESIRED X one or both Before completing form read Privacy Act Statement and Instructions on reverse SECTION I - APPLICANT INFORMATION 2. NAME OF SPONSOR Last First Middle Initial 3. PAY GRADE 6. ADDRESS a* MILITARY HOUSING 7. TELEPHONE NUMBER Street City State Zip Code a* 4. SSN HOME Area Code b. HOUSING REFERRAL 5. DOD COMPONENT 8. STATUS OF APPLICANT b. DUTY DSN X one a* MILITARY MEMBER c* CIVILIAN b. MILITARY SPOUSE 9. MARITAL STATUS 10. I AM SEPARATED FROM MY DEPENDENTS a* VOLUNTARILY 11. I REQUEST HOUSING FOR a* SELF ONLY d. FOREIGN NATIONAL b. INVOLUNTARILY SECTION II - MILITARY CAREER INFORMATION Civilians skip to Item 15. 14. DATES b. SELF AND DEPENDENTS 12. INSTALLATION/ORGANIZATION TRANSFERRED FROM Enter in YYMMDD order MILITARY APPLICANT a* EFFECTIVE RANK/RATE DATE b. ACTIVE DUTY SERVICE COMPUTATION c* TIME REMAINING ON ACTIVE DUTY d. EFFECTIVE CHANGE IN DUTY STATION e. REPORT DATE f* ESTIMATED FAMILY ARRIVAL DATE SECTION III - DEPENDENT DATA 15. DEPENDENTS RESIDING WITH ME If more space is needed continue on plain paper. b. DATE OF BIRTH YYMMDD a* NAME Last First Middle Initial c* SEX d. RELATIONSHIP e. REMARKS Handicap health problems expected additions to family etc* SECTION IV - HOUSING DATA 16. COMMUNITY HOUSING DESIRED X as applicable a* PURCHASE HOUSE d. RENT HOUSE g. RENT MOBILE HOME SPACE j. ROOM AND BOARD b. PURCHASE CONDOMINIUM e. RENT APARTMENT h. SHARE k. SUBLET c* PURCHASE MOBILE HOME i. RENT ROOM 17. AMENITIES DESIRED 18. DATE HOUSING NEEDED l* TRANSIENT 19. PRICE RANGE a* FURNISHED e. NO. BATHS b. UNFURNISHED f* PETS Allowed c* AIR CONDITIONING g. OTHER Explain Community Housing 20. LOCATION PREFERENCE d. NO. BEDROOMS 21. REMARKS 22. SIGNATURE OF APPLICANT 23. DATE SUBMITTED SECTION V - DISPOSITION To be completed by the Housing Office. 24. MILITARY HOUSING APPLICATION RECEIVED YYMMDD and time b. APPLICATION EFFECTIVE YYMMDD c* DD FORM 1747 PROVIDED d. HOUSING AVAILABILITY Boxes indicated on DD Form 1747 e. APPLICANT PLACED ON WAITING LIST f* EFFECTIVE PLACEMENT YYMMDD g. BEDROOMS REQUIRED h. DATE UNIT ASSIGNED YYMMDD On this date I have received a listing of the housing restrictions approved In addition if any facility refuses to rent or sell to me or I have by the Installation Commander and I will not reside in any property on the reason to believe I am being discriminated against I will promptly notify restricted list. I have been briefed on 1 the services provided by the the Housing Office. Housing Office 2 the DoD program on equal opportunity for military 25. SIGNATURE OF APPLICANT 26. DATE SIGNED personnel in off-base housing and 3 nondiscrimination based on physical or mental handicaps..
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