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Get DA 5646 2017-2024

No other conditions or promises were made to me in conjunction with my entry or continuation in the AGR program. TYPED OR PRINTED NAME RANK SIGNATURE DATE SIGNED Reverse of DA Form 5646 AUG 2010. DA FORM 5646 AUG 2010 PREVIOUS EDITIONS ARE OBSOLETE APD LC v1.00ES 3. I am aware that my job assignment may require successful completion of a course or courses of instruction by military institutions. STATEMENT OF CONDITIONS OF SERVICE - ACTIVE GUARD RESERVE AGR For use of this form see AR 140-30 the proponent agency is CAR Information required by the Privacy Act of 1974 AUTHORITY 10 USC 672 d and Executive Order 9397 22 November 1943. PRINCIPLE PURPOSE To explain the obligations and conditions that are or will be in force for members of the U*S* Army Reserve ordered to active duty with their consent in an Active Guard/Reserve AGR status. ROUTINE USES Confirmation that the individual understands and agrees to the obligations and conditions that will be incurred upon entry or continued services on active duty in an AGR status. DISCLOSURE Disclosure of the individual s SSN is voluntary however if the SSN is not provided the soldier may not be ordered extended or retained on active duty in an AGR status. I. APPLICATION A. All individuals applying for voluntary active duty in an AGR status must read and sign this form* B. The form shall only be completed once and shall remain in force during the entire period the individual serves on active duty in the AGR program to include periods of active duty for training ADT performed while in the AGR program* Should the individual incur a break in continuous active duty in the AGR program in excess of 48 hours the form must again be completed upon reentry on active duty in the AGR program* C. A copy of this form will be given to the individual as a personal copy. A copy will be retained in the individual s Career Management Information File CMIF Official Military Personnel File OMPF and Military Personnel Records Jacket MPRJ. II. ACTIVE GUARD/RESERVE CONDITIONS AND OBLIGATIONS The member must place his or her initials in the appropriate block. 1. I am applying for voluntary order to active duty in an AGR status for an initial AGR tour. If ordered to active duty I will be stabilized in my initial assignment for the entire term of my initial tour of duty except as described in paragraph 7 below. Should I voluntarily reenlist or extend for the purpose of being renewed or continued on an AGR status or accept an additional tour I will be subject to involuntary reassignment based on the needs of the Service. 1. I am currently serving on active duty in an AGR status. I am being processed for an immediate reenlistment or extension to be continued or retained on active duty in an AGR status or have been offered an additional tour. I have never before signed one of these specific agreements. I understand that I am no longer managed under the Long Tour Management Program and therefore accept the withdrawal by Department of the Army of any previous agreements I may have accepted under the Long Tour Management Program* I further understand that I will be subject to involuntary reassignment based on the needs of the Service.

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