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Making a knowing and willful false statement on this DD Form 369 may be punishable by fine or imprisonment or both. DATE YYYYMMDD 15. TITLE LAW ENFORCEMENT AGENCY MAIL TO DD FORM 369 JUL 2010 16. VERIFIED BY Signature RECRUITING AGENCY MAIL FROM PREVIOUS EDITION IS OBSOLETE. Reset Adobe Designer 8. 1. DATE OF REQUEST POLICE RECORD CHECK YYYYMMDD OMB No. 0704-0007 OMB approval expires Jun 30 2011 The public reporting burden for this collection of ...
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DD Form 369 is a Department of Defense form used for the Identification of an Individual's Employment.
Members of the Armed Forces and certain civilian employees are required to file DD Form 369 when they are being considered for employment or when they need to disclose their employment status.
To fill out DD Form 369, provide personal information such as name, Social Security number, and employment history, and sign the certification at the end of the form.
The purpose of DD Form 369 is to collect information regarding an individual's employment for security clearance evaluations or other official purposes.
The form requires personal details, including full name, Social Security number, employment history, and any affiliations with foreign governments.
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