Note 1: All email addresses are @persnet



Updated: 22 June 2005

ODC blank form: bupers.navy.mil

Degrees/Courses info for ODC:

Note 1: All email addresses are @navy.mil except as noted for blocks 47, 66, 67, 68

Note 2: All Commercial Number prefixes: (901) 874; DSN prefix: 882 except for blocks 47, 66, 67, 68

Note 3: All Commercial Number prefixed (504) 697; DSN prefix: 647

|BLOCK |BLOCK NAME |POC EMAIL |POC ADDRESS |POC PHONE # |INFORMATION REQUIRED TO MAKE CHANGE |

|1 |SSN |NSIPS |Information Technology Center |1-877-589-5991 |Official correspondence from your command, SS Card |

| | | |ITC 14 BLDG 3 Third Floor |FAX: | |

| | | |Attn: CDM |1-504-697-0342 | |

| | | |2251 Lakeshore Dr | | |

| | | |New Orleans, LA 70145 | | |

|2 |Name |NSIPS |Information Technology Center |1-877-589-5991 |Official correspondence from your command, legal documents |

| | | |ITC 14 BLDG 3 Third Floor |FAX: | |

| | | |Attn: CDM |1-504-697-0342 | |

| | | |2251 Lakeshore Dr | | |

| | | |New Orleans, LA 70145 | | |

|3 |Sex |NSIPS |Information Technology Center |1-877-589-5991 |Birth Certificate |

| | | |ITC 14 BLDG 3 Third Floor |FAX: | |

| | | |Attn: CDM |1-504-697-0342 | |

| | | |2251 Lakeshore Dr | | |

| | | |New Orleans, LA 70145 | | |

|4 |Designator | |Navy Personnel Command |4537 (Active) |As required. Contact cognizant NPC code for more information. |

| | |P4802 (Active) |PERS- |2675 (Fax) | |

| |(4th digit for augumentation |P4911 (Reserves) |5720 Integrity Drive |4491 (Reserve) | |

| |only) | |Millington, TN 38055-xxxx |2753 (Fax) | |

|5 |Grade |p8021 |Navy Personnel Command |4937 (PERS-851) |Official correspondence from your command |

| | |p861c7 (for TAR) |PERS-XXX |2751 (851 fax) |Signed A & O |

| | | |5720 Integrity Drive |4537 (PERS-861c7) | |

| | | |Millington, TN 38055-xxxx |2675 (86 fax) | |

|6 |Year Group |p8021 |Navy Personnel Command |4937 (PERS-851) |Officer Appointment and Oath of Office (NAVCRUIT 1000-20) |

| | |p861c7 (for TAR) |PERS-XXX |2751 (851 fax) | |

| | | |5720 Integrity Drive |4537 (PERS-86) | |

| | | |Millington, TN 38055-xxxx |2675 (86 fax) | |

|7 |Precedence Number |p851 |Navy Personnel Command |4937 (PERS-851) |As required. Contact cognizant NPC code for more information. |

| | |p861c7 (for TAR) |PERS-851/861 |2751 (851 fax) | |

| | | |5720 Integrity Drive |4537 (PERS-86) | |

| | | |Millington, TN 38055-xxxx |2675 (86 fax) | |

|8 |Birth Date |NSIPS |Information Technology Center |1-877-589-5991 |IAW MILPERSMAN 1000-120 |

| | | |ITC 14 BLDG 3 Third Floor |FAX: | |

| | | |Attn: CDM |1-504-697-0342 | |

| | | |2251 Lakeshore Dr | | |

| | | |New Orleans, LA 70145 | | |

|9 |Promotion List Service Date |p8021 |Navy Personnel Command |4937 |As required. Contact cognizant NPC code for more information. |

| | | |PERS-8021 |2751 (fax) | |

| | | |5720 Integrity Drive | | |

| | | |Millington, TN 38055-8510 | | |

|10 |Previous Military Service |p822 |Navy Personnel Command |3180 |NAVPERS 1070/26 |

| | | |PERS-822 |2622 (fax) | |

| | | |5720 Integrity Drive | | |

| | | |Millington, TN 38055-8220 | | |

|11 |Submarine Qual |p421e |Navy Personnel Command |3934 |As required. Contact cognizant NPC code for more information. |

| | | |PERS-421E |2648 (fax) | |

| | | |5720 Integrity Drive | | |

| | | |Millington, TN 38055-4210 | | |

|12 |Heavier than Air Qual |p432o |Navy Personnel Command |3947 |As required. Contact cognizant NPC code for more information. |

| | | |PERS-432O |2721 (fax) | |

| | | |5720 Integrity Drive | | |

| | | |Millington, TN 38055-4320 | | |

|13 |Naval Flight Officer Qual |p432o |Navy Personnel Command |3947 |As required. Contact cognizant NPC code for more information. |

| | | |PERS-432O |2721 (fax) | |

| | | |5720 Integrity Drive | | |

| | | |Millington, TN 38055-4320 | | |

|14 |Projected Rotation Date |Your Detailer |Navy Personnel Command |xxxx |As required. Contact cognizant NPC code for more information. |

| | | |PERS-XXXX | | |

| | | |Integrity Drive | | |

| | | |Millington, TN 38055-xxxx | | |

|15 |Activity |Your Detailer |Navy Personnel Command |xxxx |As required. Contact cognizant NPC code for more information. |

| |Estimated Loss Code/Date |Sep/Ret – P8 |PERS-XXXX | | |

| | | |Integrity Drive | | |

| | | |Millington, TN 38055-xxxx | | |

|16 |Pay Entry Base Date |p822 |Navy Personnel Command |3180 |As required. Contact cognizant NPC code for more information. |

| | | |PERS-822 |2622 (fax) | |

| | | |5720 Integrity Drive | | |

| | | |Millington, TN 38055-8220 | | |

|17 |Service Date |p822 |Navy Personnel Command |3180 (PERS-822) |As required. Contact cognizant NPC code for more information. |

| | |p861c7 (for TAR) |PERS-822/86 |2622 (822 fax) | |

| | | |5720 Integrity Drive |4537 (PERS-86) | |

| | | |Millington, TN 38055-xxxx |2675 (86 fax) | |

|18 |Eligible to Retire Date |p822 |Navy Personnel Command |3180 |As required. Contact cognizant NPC code for more information. |

| | | |PERS-822 |2622 (fax) | |

| | | |5720 Integrity Drive | | |

| | | |Millington, TN 38055-8220 | | |

|19 |Active Commission Base Date |p822 |Navy Personnel Command |3180 |As required. Contact cognizant NPC code for more information. |

| | | |PERS-822 |2622 (fax) | |

| | | |5720 Integrity Drive | | |

| | | |Millington, TN 38055-8220 | | |

|20 |Active Duty Service Date |p822 |Navy Personnel Command |3180 |As required. Contact cognizant NPC code for more information. |

| | | |PERS-822 |2622 (fax) | |

| | | |5720 Integrity Drive | | |

| | | |Millington, TN 38055-8220 | | |

|21 |Current Gain Date |NSIPS |Information Technology Center |1-877-589-5991 |Official correspondence from your command |

| | | |ITC 14 BLDG 3 Third Floor |FAX: | |

| | | |Attn: CDM |1-504-697-0342 | |

| | | |2251 Lakeshore Dr | | |

| | | |New Orleans, LA 70145 | | |

|22 |Professional Service Date |p822 |Navy Personnel Command |3180 |As required. Contact cognizant NPC code for more information. |

| | | |PERS-822 |2622 (fax) | |

| | | |5720 Integrity Drive | | |

| | | |Millington, TN 38055-8220 | | |

|23 |Minimum Service Required |Your Detailer |Navy Personnel Command |xxxx |As required. Contact cognizant NPC code for more information. |

| | | |PERS-XXXX | | |

| | | |Integrity Drive | | |

| | | |Millington, TN 38055-xxxx | | |

|24 |Source Code |P802 |Navy Personnel Command |4523 |As required. Contact cognizant NPC code for more information. |

| | | |PERS-802 |2660 (fax) | |

| | | |5720 Integrity Drive | | |

| | | |Millington, TN 38055-3120 | | |

|25 |Dependents |NSIPS |Information Technology Center |1-877-589-5991 |Current Page 2 (NAVPERS 1070/602) |

| | | |ITC 14 BLDG 3 Third Floor |FAX: | |

| | | |Attn: CDM |1-504-697-0342 | |

| | | |2251 Lakeshore Dr | | |

| | | |New Orleans, LA 70145 | | |

|26 |Aviation Commission Date |p432o |Navy Personnel Command |3947 |As required. Contact cognizant NPC code for more information. |

| | | |PERS-432O |2721 (fax) | |

| | | |5720 Integrity Drive | | |

| | | |Millington, TN 38055-4320 | | |

|27 |Aviation Service Entry Date |p432o |Navy Personnel Command |3947 |As required. Contact cognizant NPC code for more information. |

| | | |PERS-432O |2721 (fax) | |

| | | |5720 Integrity Drive | | |

| | | |Millington, TN 38055-4320 | | |

|28 |Months of Operational Flying |p432o |Navy Personnel Command |3947 |As required. Contact cognizant NPC code for more information. |

| | | |PERS-432O |2721 (fax) | |

| | | |5720 Integrity Drive | | |

| | | |Millington, TN 38055-4320 | | |

|29 |Months to Gate |p432o |Navy Personnel Command |3947 |As required. Contact cognizant NPC code for more information. |

| | | |PERS-432O |2721 (fax) | |

| | | |5720 Integrity Drive | | |

| | | |Millington, TN 38055-4320 | | |

|30 |Months of Operations Flying |p432o |Navy Personnel Command |3947 |As required. Contact cognizant NPC code for more information. |

| |Required | |PERS-432O |2721 (fax) | |

| | | |5720 Integrity Drive | | |

| | | |Millington, TN 38055-4320 | | |

|31 |Aviation Gate |p432o |Navy Personnel Command |3947 |As required. Contact cognizant NPC code for more information. |

| | | |PERS-432O |2721 (fax) | |

| | | |5720 Integrity Drive | | |

| | | |Millington, TN 38055-4320 | | |

|32 |Aviation Status Indicator |p432o |Navy Personnel Command |3947 |As required. Contact cognizant NPC code for more information. |

| | | |PERS-432O |2721 (fax) | |

| | | |5720 Integrity Drive | | |

| | | |Millington, TN 38055-4320 | | |

|33 |Aviation Billet Indicator |p432o |Navy Personnel Command |3947 |As required. Contact cognizant NPC code for more information. |

| | | |PERS-432O |2721 (fax) | |

| | | |5720 Integrity Drive | | |

| | | |Millington, TN 38055-4320 | | |

|34 |Primary Aeronautical Designator|p432o |Navy Personnel Command |3947 |As required. Contact cognizant NPC code for more information. |

| |34a. Service Group | |PERS-432O |2721 (fax) | |

| | | |5720 Integrity Drive | | |

| | | |Millington, TN 38055-4320 | | |

|35 |Aviation Status Indicator |p432o |Navy Personnel Command |3947 |As required. Contact cognizant NPC code for more information. |

| |Effective Date | |PERS-432O |2721 (fax) | |

| | | |5720 Integrity Drive | | |

| | | |Millington, TN 38055-4320 | | |

|36 |Promotion History |p8021 |Navy Personnel Command |4937 (PERS-851) |Appointment Letter (NAVPERS 1421/7) |

| | |p861c7 (for TAR) |PERS-XXX |2751 (851 fax) | |

| | | |5720 Integrity Drive |4537 (PERS-86) | |

| | | |Millington, TN 38055-xxxx |2675 (86 fax) | |

|37 |Promotion Status |p8021 |Navy Personnel Command |4937 (PERS-851) |Appointment Letter (NAVPERS 1421/7) |

| | |p861c7 (for TAR) |PERS-XXX |2751 (851 fax) | |

| | | |5720 Integrity Drive |4537 (PERS-86) | |

| | | |Millington, TN 38055-xxxx |2675 (86 fax) | |

|38 |Spot Grade |p8021 |Navy Personnel Command |4937 (PERS-851) |Appointment Letter (NAVPERS 1421/7) |

| | |p861c7 (for TAR) |PERS-XXX |2751 (851 fax) | |

| | | |5720 Integrity Drive |4537 (PERS-86) | |

| | | |Millington, TN 38055-xxxx |2675 (86 fax) | |

|39 |Spot Grade Date of Rank |p8021 |Navy Personnel Command |4937 (PERS-851) |Appointment Letter (NAVPERS 1421/7) |

| | |p861c7 (for TAR) |PERS-XXX |2751 (851 fax) | |

| | | |5720 Integrity Drive |4537 (PERS-86) | |

| | | |Millington, TN 38055-xxxx |2675 (86 fax) | |

|40 |Permanent Grade |p8021 |Navy Personnel Command |4937 (PERS-851) |Appointment Letter (NAVPERS 1421/7) |

| | |p861c7 (for TAR) |PERS-XXX |2751 (851 fax) | |

| | | |5720 Integrity Drive |4537 (PERS-86) | |

| | | |Millington, TN 38055-xxxx |2675 (86 fax) | |

|41 |Nuclear Commission Date |p421e |Navy Personnel Command |3934 |As required. Contact cognizant NPC code for more information. |

| | | |PERS-421E |2648 (fax) | |

| | | |5720 Integrity Drive | | |

| | | |Millington, TN 38055-4210 | | |

|42 |Nuclear Service Control Date |p421e |Navy Personnel Command |3934 |As required. Contact cognizant NPC code for more information. |

| | | |PERS-421E |2648 (fax) | |

| | | |5720 Integrity Drive | | |

| | | |Millington, TN 38055-4210 | | |

|43 |Nuclear Status Indicator |p421e |Navy Personnel Command |3934 |As required. Contact cognizant NPC code for more information. |

| | | |PERS-421E |2648 (fax) | |

| | | |5720 Integrity Drive | | |

| | | |Millington, TN 38055-4210 | | |

|44 |Submarine Service Entry Date |p421e |Navy Personnel Command |3934 |As required. Contact cognizant NPC code for more information. |

| | | |PERS-421E |2648 (fax) | |

| | | |5720 Integrity Drive | | |

| | | |Millington, TN 38055-4210 | | |

|45 |Submarine Status Indicator |p421e |Navy Personnel Command |3934 |As required. Contact cognizant NPC code for more information. |

| | | |PERS-421E |2648 (fax) | |

| | | |5720 Integrity Drive | | |

| | | |Millington, TN 38055-4210 | | |

|46 |Submarine Service Control Date |p421e |Navy Personnel Command |3934 |As required. Contact cognizant NPC code for more information. |

| | | |PERS-421E |2648 (fax) | |

| | | |5720 Integrity Drive | | |

| | | |Millington, TN 38055-4210 | | |

|47 |Academic Profile Code |kcollyer@nps.navy. |Director of Admissions |(831) 656-3093 DSN prefix: |Original transcripts from all undergraduate and any graduate |

| | |mil |Code 01B3 |878 |schools attended. |

| | |(Naval Postgraduate |Naval Postgraduate School |2891/2640 (fax) | |

| | |School) |589 Dyer Road Room 103C | | |

| | | |Monterey, CA 93943-5100 | | |

|48 |Aviation Officer Continuation |p432o |Navy Personnel Command |3947 |As required. Contact cognizant NPC code for more information. |

| |Pay/Years Extention | |PERS-432O |2721 (fax) | |

| | | |5720 Integrity Drive | | |

| | | |Millington, TN 38055-4320 | | |

|49 | |N/A | | | |

|50 | |N/A | | | |

|51 |Designator History |NSIPS |Information Technology Center |1-877-589-5991 |Official correspondence from your command; FITREPs.. |

| | | |ITC 14 BLDG 3 Third Floor |FAX: | |

| | | |Attn: CDM |1-504-697-0342 | |

| | | |2251 Lakeshore Dr | | |

| | | |New Orleans, LA 70145 | | |

|52 |Service Schools |NSIPS |Information Technology Center |1-877-589-5991 |Course title, school location, completion date, course duration, |

| | |p45j (for all joint |ITC 14 BLDG 3 Third Floor |FAX: |and diploma/certificate of completion. |

| | |service schools |Attn: CDM |1-504-697-0342 | |

| | |and NWC) |2251 Lakeshore Dr | | |

| | | |New Orleans, LA 70145 | | |

|53 |Service College Bank |p440a/c |Navy Personnel Command |4100 |As required. Contact cognizant NPC code for more information. |

| | | |PERS-440A/C |2676 (fax) | |

| | | |5720 Integrity Drive | | |

| | | |Millington, TN 38055-4400 | | |

|54 |Formal Education |NSIPS |Information Technology Center |1-877-589-5991 |Degree |

| | | |ITC 14 BLDG 3 Third Floor |FAX: | |

| | | |Attn: CDM |1-504-697-0342 | |

| | | |2251 Lakeshore Dr | | |

| | | |New Orleans, LA 70145 | | |

|55 |Year Completed |NSIPS |Information Technology Center |1-877-589-5991 |Degree |

| | | |ITC 14 BLDG 3 Third Floor |FAX: | |

| | | |Attn: CDM |1-504-697-0342 | |

| | | |2251 Lakeshore Dr | | |

| | | |New Orleans, LA 70145 | | |

|56 |Navy-Sponsored Postgraduate |NSIPS |Information Technology Center |1-877-589-5991 |Certificate of completion for Navy-sponsored postgraduate courses.|

| |Education | |ITC 14 BLDG 3 Third Floor |FAX: | |

| | | |Attn: CDM |1-504-697-0342 | |

| | | |2251 Lakeshore Dr | | |

| | | |New Orleans, LA 70145 | | |

|57 |Block 56 Codes |NSIPS |Information Technology Center |1-877-589-5991 |Certificate of completion for Navy-sponsored postgraduate courses.|

| | | |ITC 14 BLDG 3 Third Floor |FAX: | |

| | | |Attn: CDM |1-504-697-0342 | |

| | | |2251 Lakeshore Dr | | |

| | | |New Orleans, LA 70145 | | |

|58 |Level of Education |NSIPS |Information Technology Center |1-877-589-5991 |Degree |

| | | |ITC 14 BLDG 3 Third Floor |FAX: | |

| | | |Attn: CDM |1-504-697-0342 | |

| | | |2251 Lakeshore Dr | | |

| | | |New Orleans, LA 70145 | | |

|59 |Major Field of Study |NSIPS |Information Technology Center |1-877-589-5991 |Degree |

| | | |ITC 14 BLDG 3 Third Floor |FAX: | |

| | | |Attn: CDM |1-504-697-0342 | |

| | | |2251 Lakeshore Dr | | |

| | | |New Orleans, LA 70145 | | |

|60 |Specialization Within Block 59 |NSIPS |Information Technology Center |1-877-589-5991 |Degree |

| | | |ITC 14 BLDG 3 Third Floor |FAX: | |

| | | |Attn: CDM |1-504-697-0342 | |

| | | |2251 Lakeshore Dr | | |

| | | |New Orleans, LA 70145 | | |

|61 |>18 hrs Postgraduate Education |NSIPS |Information Technology Center |1-877-589-5991 |Transcripts of completed graduate education. |

| |Completed | |ITC 14 BLDG 3 Third Floor |FAX: | |

| | | |Attn: CDM |1-504-697-0342 | |

| | | |2251 Lakeshore Dr | | |

| | | |New Orleans, LA 70145 | | |

|62 |Language Proficiency |NSIPS |Information Technology Center |1-877-589-5991 |As required. Contact cognizant NPC code for more information. |

| | | |ITC 14 BLDG 3 Third Floor |FAX: | |

| | | |Attn: CDM |1-504-697-0342 | |

| | | |2251 Lakeshore Dr | | |

| | | |New Orleans, LA 70145 | | |

|63 | |N/A | | | |

|64 |Year DLPT Administered |NSIPS |Information Technology Center |1-877-589-5991 |Defense Language Proficiency Test results; Language Proficiency |

| | | |ITC 14 BLDG 3 Third Floor |FAX: |Questionnaire (if self-evaluated). |

| | | |Attn: CDM |1-504-697-0342 | |

| | | |2251 Lakeshore Dr | | |

| | | |New Orleans, LA 70145 | | |

|65 |Proficiency in More Than Two |NSIPS |Information Technology Center |1-877-589-5991 |As required. Contact cognizant NPC code for more information. |

| |Languages | |ITC 14 BLDG 3 Third Floor |FAX: | |

| | | |Attn: CDM |1-504-697-0342 | |

| | | |2251 Lakeshore Dr | | |

| | | |New Orleans, LA 70145 | | |

|66 |Subspecialty Code |p440e2 |Navy Personnel Command |4057 (PERS-440E2) |As required. Contact cognizant NPC code for more information. |

| | | |PERS-440E2 |2676 (440E2 fax) | |

| | |*all Medical suffixes |5720 Integrity Drive | | |

| | |@us.med.navy.mil |Millington, TN 38055-34400 |Medical Corps: | |

| | | | |(202) 762-3396 | |

| | |Medical Corps: |BUMED |DSN prefix: 762 | |

| | |jrdevoll |MED-xxxxx (see below) |fax: | |

| | | |2300 E. Street NW |Nurse Corps: | |

| | |Nurse Corps: |Washington, D.C. 20372-5300 |(202) 762-3039 | |

| | |adlambert | |DSN prefix: 762 | |

| | | |Medical Corps: 00MCB4 |fax: 3727 | |

| | |Dental Corps: | |Dental Corps: | |

| | |rdfoss |Nurse Corps: 00NCB3 |(202) 762-3025 | |

| | | | |DSN prefix: 762 | |

| | |Medical Service Corps: |Dental Corps: 00DCB |fax: 3023 | |

| | |awbarrow | |Medical Service Corps: | |

| | | |Medical Service Corps: 00MSC |(202) 762-3072 | |

| | | | |DSN prefix: 762 | |

| | | | |fax: 1626 | |

|67 |Subspecialty Code |p440e2 |Navy Personnel Command |4057 (PERS-440E2) |As required. Contact cognizant NPC code for more information. |

| | | |PERS-440E2 |2676 (440E2 fax) | |

| | |*all Medical suffixes |5720 Integrity Drive | | |

| | |@us.med.navy.mil |Millington, TN 38055-34400 |Medical Corps: | |

| | | | |(202) 762-3396 | |

| | |Medical Corps: |BUMED |DSN prefix: 762 | |

| | |jrdevoll |MED-xxxxx (see below) |fax: | |

| | | |2300 E. Street NW |Nurse Corps: | |

| | |Nurse Corps: |Washington, D.C. 20372-5300 |(202) 762-3039 | |

| | |adlambert | |DSN prefix: 762 | |

| | | |Medical Corps: 00MCB4 |fax: 3727 | |

| | |Dental Corps: | |Dental Corps: | |

| | |rdfoss |Nurse Corps: 00NCB3 |(202) 762-3025 | |

| | | | |DSN prefix: 762 | |

| | |Medical Service Corps: |Dental Corps: 00DCB |fax: 3023 | |

| | |awbarrow | |Medical Service Corps: | |

| | | |Medical Service Corps: 00MSC |(202) 762-3072 | |

| | | | |DSN prefix: 762 | |

| | | | |fax: 1626 | |

|68 |Subspecialty Code |p440e2 |Navy Personnel Command |4057 (PERS-440E2) |As required. Contact cognizant NPC code for more information. |

| | | |PERS-440E2 |2676 (440E2 fax) | |

| | |*all Medical suffixes |5720 Integrity Drive | | |

| | |@us.med.navy.mil |Millington, TN 38055-34400 |Medical Corps: | |

| | | | |(202) 762-3396 | |

| | |Medical Corps: |BUMED |DSN prefix: 762 | |

| | |jrdevoll |MED-xxxxx (see below) |fax: | |

| | | |2300 E. Street NW |Nurse Corps: | |

| | |Nurse Corps: |Washington, D.C. 20372-5300 |(202) 762-3039 | |

| | |adlambert | |DSN prefix: 762 | |

| | | |Medical Corps: 00MCB4 |fax: 3727 | |

| | |Dental Corps: | |Dental Corps: | |

| | |rdfoss |Nurse Corps: 00NCB3 |(202) 762-3025 | |

| | | | |DSN prefix: 762 | |

| | |Medical Service Corps: |Dental Corps: 00DCB |fax: 3023 | |

| | |awbarrow | |Medical Service Corps: | |

| | | |Medical Service Corps: 00MSC |(202) 762-3072 | |

| | | | |DSN prefix: 762 | |

| | | | |fax: 1626 | |

|69 | |N/A | | | |

|70 | |N/A | | | |

|71 | |N/A | | | |

|72 |Additional Qualification |Your Detailer |Navy Personnel Command |xxxx |As required. Contact cognizant NPC code for more information. |

| |Designations | |PERS-XXXX | |POC: Mr Glenn Stubbs 901-874-4126 |

| | | |Integrity Drive | | |

| | | |Millington, TN 38055-xxxx | | |

|73 |Primary Duty |NSIPS |Information Technology Center |1-877-589-5991 |Official correspondence from your command; FITREPs. |

| | | |ITC 14 BLDG 3 Third Floor |FAX: | |

| | | |Attn: CDM |1-504-697-0342 | |

| | | |2251 Lakeshore Dr | | |

| | | |New Orleans, LA 70145 | | |

|74 | |N/A | | | |

|75 |Accounting Category Code |NSIPS |Information Technology Center |1-877-589-5991 |Official correspondence from your command. |

| | | |ITC 14 BLDG 3 Third Floor |FAX: | |

| | | |Attn: CDM |1-504-697-0342 | |

| | | |2251 Lakeshore Dr | | |

| | | |New Orleans, LA 70145 | | |

|76 |Date Reported |NSIPS |Information Technology Center |1-877-589-5991 |Official correspondence from your command. |

| | | |ITC 14 BLDG 3 Third Floor |FAX: | |

| | | |Attn: CDM |1-504-697-0342 | |

| | | |2251 Lakeshore Dr | | |

| | | |New Orleans, LA 70145 | | |

|77 |Present Duty Station |NSIPS |Information Technology Center |1-877-589-5991 |As required. Contact cognizant NPC code for more information. |

| | | |ITC 14 BLDG 3 Third Floor |FAX: | |

| | | |Attn: CDM |1-504-697-0342 | |

| | | |2251 Lakeshore Dr | | |

| | | |New Orleans, LA 70145 | | |

|78 |Type of Assignment |NSIPS |Information Technology Center |1-877-589-5991 |As required. Contact cognizant NPC code for more information. |

| | | |ITC 14 BLDG 3 Third Floor |FAX: | |

| | | |Attn: CDM |1-504-697-0342 | |

| | | |2251 Lakeshore Dr | | |

| | | |New Orleans, LA 70145 | | |

|79 |Subspecialty Utilization |p440e2 |Navy Personnel Command |4057 |As required. Contact cognizant NPC code for more information. |

| | | |PERS-440E2 |2676 (fax) | |

| | | |5720 Integrity Drive | | |

| | | |Millington, TN 38055-4400 | | |

|80 |Homeport |NSIPS |Information Technology Center |1-877-589-5991 |As required. Contact cognizant NPC code for more information. |

| | | |ITC 14 BLDG 3 Third Floor |FAX: | |

| | | |Attn: CDM |1-504-697-0342 | |

| | | |2251 Lakeshore Dr | | |

| | | |New Orleans, LA 70145 | | |

|81 |Ship/Station Code |NSIPS |Information Technology Center |1-877-589-5991 |As required. Contact cognizant NPC code for more information. |

| | | |ITC 14 BLDG 3 Third Floor |FAX: | |

| | | |Attn: CDM |1-504-697-0342 | |

| | | |2251 Lakeshore Dr | | |

| | | |New Orleans, LA 70145 | | |

|82 |Present Billet |NSIPS |Information Technology Center |1-877-589-5991 |FITREPs |

| | | |ITC 14 BLDG 3 Third Floor |FAX: | |

| | | |Attn: CDM |1-504-697-0342 | |

| | | |2251 Lakeshore Dr | | |

| | | |New Orleans, LA 70145 | | |

|83 |Navy Officer Billet |NSIPS |Information Technology Center |1-877-589-5991 |As required. Contact cognizant NPC code for more information. |

| |Classification | |ITC 14 BLDG 3 Third Floor |FAX: | |

| | | |Attn: CDM |1-504-697-0342 | |

| | | |2251 Lakeshore Dr | | |

| | | |New Orleans, LA 70145 | | |

|84 |Date of Block 83 |NSIPS |Information Technology Center |1-877-589-5991 |FITREPs |

| | | |ITC 14 BLDG 3 Third Floor |FAX: | |

| | | |Attn: CDM |1-504-697-0342 | |

| | | |2251 Lakeshore Dr | | |

| | | |New Orleans, LA 70145 | | |

|85 |Previous Billet |NSIPS |Information Technology Center |1-877-589-5991 |FITREPs; letters of appointment. |

| | | |ITC 14 BLDG 3 Third Floor |FAX: | |

| | | |Attn: CDM |1-504-697-0342 | |

| | | |2251 Lakeshore Dr | | |

| | | |New Orleans, LA 70145 | | |

|86 |NOBC for Block 85 |NSIPS |Information Technology Center |1-877-589-5991 |As required. Contact cognizant NPC code for more information. |

| | | |ITC 14 BLDG 3 Third Floor |FAX: | |

| | | |Attn: CDM |1-504-697-0342 | |

| | | |2251 Lakeshore Dr | | |

| | | |New Orleans, LA 70145 | | |

|87 |Months for Block 85 |NSIPS |Information Technology Center |1-877-589-5991 |FITREPs; letters of appointment. |

| | | |ITC 14 BLDG 3 Third Floor |FAX: | |

| | | |Attn: CDM |1-504-697-0342 | |

| | | |2251 Lakeshore Dr | | |

| | | |New Orleans, LA 70145 | | |

|88 |Previous Billet |NSIPS |Information Technology Center |1-877-589-5991 |FITREPs; letters of appointment. |

| | | |ITC 14 BLDG 3 Third Floor |FAX: | |

| | | |Attn: CDM |1-504-697-0342 | |

| | | |2251 Lakeshore Dr | | |

| | | |New Orleans, LA 70145 | | |

|89 |NOBC for Block 88 |NSIPS |Information Technology Center |1-877-589-5991 |As required. Contact cognizant NPC code for more information. |

| | | |ITC 14 BLDG 3 Third Floor |FAX: | |

| | | |Attn: CDM |1-504-697-0342 | |

| | | |2251 Lakeshore Dr | | |

| | | |New Orleans, LA 70145 | | |

|90 |Months for Block 88 |NSIPS |Information Technology Center |1-877-589-5991 |FITREPs; letters of appointment. |

| | | |ITC 14 BLDG 3 Third Floor |FAX: | |

| | | |Attn: CDM |1-504-697-0342 | |

| | | |2251 Lakeshore Dr | | |

| | | |New Orleans, LA 70145 | | |

|91 |Chronological History/Navy |NSIPS |Information Technology Center |1-877-589-5991 |FITREPs; letters of appointment. |

| |Officer Classification/Number | |ITC 14 BLDG 3 Third Floor |FAX: | |

| |of Months Experience | |Attn: CDM |1-504-697-0342 | |

| | | |2251 Lakeshore Dr | | |

| | | |New Orleans, LA 70145 | | |

|92 |Security Clearance |p8311 |Navy Personnel Command |4403 |As required. Contact cognizant NPC code for more information. |

| | | |PERS-8311 |2627(fax) | |

| | | |5720 Integrity Drive | | |

| | | |Millington, TN 38055-8311 | | |

|93 |Security Clearance Date |P8311 |Navy Personnel Command |4846 |As required. Contact cognizant NPC code for more information. |

| | | |PERS-8311 |2660 (fax) | |

| | | |5720 Integrity Drive | | |

| | | |Millington, TN 38055-3120 | | |

|94 |Postgraduate Choice Information|Your Detailer |Navy Personnel Command |xxxx |As required. Contact cognizant NPC code for more information. |

| | | |PERS-XXXX | | |

| | | |Integrity Drive | | |

| | | |Millington, TN 38055-xxxx | | |

|95 |Race |Self Service on BOL |Navy Personnel Command |4846 |As required. Contact cognizant NPC code for more information. |

| | | |PERS-312G |2660 (fax) | |

| | | |5720 Integrity Drive | | |

| | | |Millington, TN 38055-3120 | | |

|96 |Ethnic Group |Self Service on BOL |Navy Personnel Command |4846 |As required. Contact cognizant NPC code for more information. |

| | | |PERS-312G |2660 (fax) | |

| | | |5720 Integrity Drive | | |

| | | |Millington, TN 38055-3120 | | |

|97 |Occupation Code for LDO/CWO |Your Detailer |Navy Personnel Command |xxxx |As required. Contact cognizant NPC code for more information. |

| | | |PERS-XXXX | | |

| | | |Integrity Drive | | |

| | | |Millington, TN 38055-xxxx | | |

|98 |UIC |NSIPS |Information Technology Center |1-877-589-5991 |Official correspondence from your command. |

| | | |ITC 14 BLDG 3 Third Floor |FAX: | |

| | | |Attn: CDM |1-504-697-0342 | |

| | | |2251 Lakeshore Dr | | |

| | | |New Orleans, LA 70145 | | |

|99 |Billet Sequence Code |NSIPS |Information Technology Center |1-877-589-5991 |As required. Contact cognizant NPC code for more information. |

| | | |ITC 14 BLDG 3 Third Floor |FAX: | |

| | | |Attn: CDM |1-504-697-0342 | |

| | | |2251 Lakeshore Dr | | |

| | | |New Orleans, LA 70145 | | |

|100 | |N/A | | | |

|101 | |N/A | | | |

|102 |Gain/Loss Indicator |Your Detailer |Navy Personnel Command |xxxx |As required. Contact cognizant NPC code for more information. |

| | | |PERS-XXXX | | |

| | | |Integrity Drive | | |

| | | |Millington, TN 38055-xxxx | | |

|103 |Command and Operational Screen |Your Detailer |Navy Personnel Command |xxxx |As required. Contact cognizant NPC code for more information. |

| |Results | |PERS-XXXX | | |

| | | |Integrity Drive | | |

| | | |Millington, TN 38055-xxxx | | |

|104 |Detailer's Remarks |Your Detailer |Navy Personnel Command |xxxx |As required. Contact cognizant NPC code for more information. |

| | | |PERS-XXXX | | |

| | | |Integrity Drive | | |

| | | |Millington, TN 38055-xxxx | | |

|105 | |N/A | | | |

|106 | |N/A | | | |

|107 |Placement Cogizance |Your Detailer |Navy Personnel Command |xxxx |As required. Contact cognizant NPC code for more information. |

| |Code/Assignment Officer Code | |PERS-XXXX | | |

| | | |Integrity Drive | | |

| | | |Millington, TN 38055-xxxx | | |

|108 | |N/A | | | |

|109 | |N/A | | | |

|110 | |N/A | | | |

Information to be included for Blocks 4, 14, 15, 23, 72, 97, 102, 103, 107 (regarding Detailers)

Note 1: All email addresses are @persnet.navy.mil except as noted for blocks 47, 66, 67, 68

Note 2: All Commercial Number prefixes: (901) 874; DSN prefix: 882 except as noted for blocks 47, 66, 67, 68

Note 3: All Commercial Number prefixed (504) 697; DSN prefix: 697

|Community |POC |POC Address |POC Phone # |POC |

| | | | |Fax # |

|Surface Warfare |p41a |Navy Personnel Command |3927 |2757 |

| | |PERS-41A | | |

| | |5720 Integrity Drive | | |

| | |Millington, TN 38055-4100 | | |

|Submarine Warfare |p421e |Navy Personnel Command |3934 |2648 |

| | |PERS-421E | | |

| | |5720 Integrity Drive | | |

| | |Millington, TN 38055-4210 | | |

|Aviation Warfare |p432o |Navy Personnel Command |3947 |2721 |

| | |PERS-432O | | |

| | |5720 Integrity Drive | | |

| | |Millington, TN 38055-4320 | | |

|Engineering Duty Officer |p445f |Navy Personnel Command |3294 |2676 |

| | |PERS-445F | | |

| | |5720 Integrity Drive | | |

| | |Millington, TN 38055-4450 | | |

|Aerospace Engineering/Aviation Maintenance Duty |p446b1 |Navy Personnel Command |4108 |2676 |

|Officer | |PERS-446B1 | | |

| | |5720 Integrity Drive | | |

| | |Millington, TN 38055-4460 | | |

|Professional Acquisition |p447 |Navy Personnel Command |3837 |2676 |

| | |PERS-447 | | |

| | |5720 Integrity Drive | | |

| | |Millington, TN 38055-4470 | | |

|Public Affairs |p448b |Navy Personnel Command |4025 |2676 |

| | |PERS-448B | | |

| | |5720 Integrity Drive | | |

| | |Millington, TN 38055-4480 | | |

|Meterology/Oceanography |p449b |Navy Personnel Command |4110 |2711 |

| | |PERS-449B | | |

| | |5720 Integrity Drive | | |

| | |Millington, TN 38055-4490 | | |

|Cryptology |p4410a |Navy Personnel Command |4080 |2739 |

| | |PERS-4410A | | |

| | |5720 Integrity Drive | | |

| | |Millington, TN 38055-4410 | | |

|Intelligence |p4411a |Navy Personnel Command |3993 |2744 |

| | |PERS-4411A | | |

| | |5720 Integrity Drive | | |

| | |Millington, TN 38055-4411 | | |

|Supply Corps |p4412q |Navy Personnel Command |4624 |2684 |

| | |PERS-4412Q | | |

| | |5720 Integrity Drive | | |

| | |Millington, TN 38055-4412 | | |

|Civil Engineering Corps |p4413s |Navy Personnel Command |4031 |2681 |

| | |PERS-4413S | | |

| | |5720 Integrity Drive | | |

| | |Millington, TN 38055-4413 | | |

|Chaplain Corps |p4414s |Navy Personnel Command |3996 |2755 |

| | |PERS-4414E1 | | |

| | |5720 Integrity Drive | | |

| | |Millington, TN 38055-4414 | | |

|Medical (including Medical Service, Dental, and |p4415a1 |Navy Personnel Command |4097 |2680 |

|Nurse Corps) | |PERS-4415A1 | | |

| | |5720 Integrity Drive | | |

| | |Millington, TN 38055-4415 | | |

|Judge Advocate General Corps |p4416b |Navy Personnel Command |4082 |2679 |

| | |PERS-4416B | | |

| | |5720 Integrity Drive | | |

| | |Millington, TN 38055-4416 | | |

|TAR (including Surface and Aviation) |p4417f |Navy Personnel Command |4063 |2755 |

| | |PERS-4417F | | |

| | |5720 Integrity Drive | | |

| | |Millington, TN 38055-4417 | | |

|Fleet Support |p4419s |Navy Personnel Command |4054 |2676 |

| | |PERS-4419S | | |

| | |5720 Integrity Drive | | |

| | |Millington, TN 38055-4419 | | |

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