1. Read through the form

2. Ensure your FULL name (FIRST MIDDLE LAST) is typed in above "PRINT FULL NAME"

3. Sign the form using a handwritten signature

4. Enter your FULL 9 Digit Social Security Number

5. Date the form

6. This form has sensitive personally identifiable information on it. DO NOT send via email.

Either deliver in person to any local Navy Recruiting Office or upload to the DOD Safe File Exchange by requesting a code from your NROTC Coordinator

7. Your NROTC Coordinator or a Local Navy Recruiter will be the Witnessing Official