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Get DA 1059-1 2006

An Official Transcript must be attached prior to submission of the report to the OMPF. 13. REVIEWER COMMENTS TYPED NAME AND TITLE SIGNATURE RATED SOLDIER DA FORM 1059-1 MAR 2006 PREVIOUS EDITIONS ARE OBSOLETE. APD v1. CIVILIAN INSTITUTION ACADEMIC EVALUATION REPORT For use of this form see AR 623-3 the proponent agency is DCS G-1. SECTION I - ADMINISTRATIVE DATA To be completed by the student detachment or Installation Education Services Officer 1. LAST NAME - FIRST NAME - MIDDLE INITIAL 2. SSN 6. COMP 7. APPLICABLE REGULATION 8. THIS IS A REFERRED REPORT DO YOU WISH TO MAKE COMMENTS 3. GRADE 4. BR 5. SPECIALTY/MOSC 9. DURATION OF COURSE YYYYMMDD From Thru YES NO SECTION II - EVALUATION To be completed by the Civilian Institution ATTACH AN OFFICIAL TRANSCRIPT IN DUPLICATE 10. NAME AND ADDRESS OF CIVILIAN INSTITUTION 11. EVALUATION Evaluation of Student Performance should be based on the normal standard of performance at the institution* Identify the discipline of study degree and any special achievements or deficiencies noted etc* Include aptitude for further schooling. DATE YYYYMMDD TYPED NAME TITLE AND TELEPHONE NUMBER SIGNATURE 12. DID STUDENT SUCCESSFULLY COMPLETE THE COURSE A NO response must be supported by comments in ITEM 13. CIVILIAN INSTITUTION ACADEMIC EVALUATION REPORT For use of this form see AR 623-3 the proponent agency is DCS G-1. SECTION I - ADMINISTRATIVE DATA To be completed by the student detachment or Installation Education Services Officer 1. SECTION I - ADMINISTRATIVE DATA To be completed by the student detachment or Installation Education Services Officer 1. LAST NAME - FIRST NAME - MIDDLE INITIAL 2. SSN 6. COMP 7. APPLICABLE REGULATION 8. THIS IS A REFERRED REPORT DO YOU WISH TO MAKE COMMENTS 3. LAST NAME - FIRST NAME - MIDDLE INITIAL 2. SSN 6. COMP 7. APPLICABLE REGULATION 8. THIS IS A REFERRED REPORT DO YOU WISH TO MAKE COMMENTS 3. GRADE 4. BR 5. SPECIALTY/MOSC 9. DURATION OF COURSE YYYYMMDD From Thru YES NO SECTION II - EVALUATION To be completed by the Civilian Institution ATTACH AN OFFICIAL TRANSCRIPT IN DUPLICATE 10. GRADE 4. BR 5. SPECIALTY/MOSC 9. DURATION OF COURSE YYYYMMDD From Thru YES NO SECTION II - EVALUATION To be completed by the Civilian Institution ATTACH AN OFFICIAL TRANSCRIPT IN DUPLICATE 10. NAME AND ADDRESS OF CIVILIAN INSTITUTION 11. EVALUATION Evaluation of Student Performance should be based on the normal standard of performance at the institution* Identify the discipline of study degree and any special achievements or deficiencies noted etc* Include aptitude for further schooling. NAME AND ADDRESS OF CIVILIAN INSTITUTION 11. EVALUATION Evaluation of Student Performance should be based on the normal standard of performance at the institution* Identify the discipline of study degree and any special achievements or deficiencies noted etc* Include aptitude for further schooling. DATE YYYYMMDD TYPED NAME TITLE AND TELEPHONE NUMBER SIGNATURE 12. DID STUDENT SUCCESSFULLY COMPLETE THE COURSE A NO response must be supported by comments in ITEM 13. .

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