AIR FORCE DISCHARGE REVIEW BOARD HEARING RECORD

NAME OF SERVICE MEMBER (LAST, FIRST MIDDLE INITIAL) AFSN/SSAN

 

 

PERSONAL APPEARANCE RECORD REVIEW

NAME OF COUNSEL AND OR ORGANIZATION ADDRESS AND OR ORGANIZATION OF COUNSEL

 

 

 

 

HON GEN DENY

 

 

 

X+*

 

X+*

 

 
 

ISSUES A93.01 INDEX NUMBER A67.50

 
 
  
     

1 | ORDER APPOINTING THE BOARD
APPLICATION FOR REVIEW OF DISCHARGE
3 |LETTER OF NOTIFICATION
4 |BRIEF OF PERSONNEL FILE
COUNSEL’S RELEASE TO THE BOARD

ADDITIONAL EXHIBITS SUBMITTED AT TIME OF
PERSONAL APPEARANCE

| TAPE RECORDING OF PERSONAL APPEARANCE HEARING

  

 

       
   
 

CASE NUMBER

FD-2008-00266

HEARING DATE

02 Nov 2010

Case heard in Washington, D.C.

Advise applicant of the decision of the Board and the right to submit an application to the AFBCMR.

Names and votes will be made available to the applicant at the applicant’s request.

+RE Code
*Narrative reason

 

   

SECRETARY OF THE AIR FORCE PERSONNEL COUNCIL

AIR FORCE DISCHARGE REVIEW BOARD
1535 COMMAND DR, EE WING, 3RD FLOOR

ANDREWS AFB, MD 20762-7001

    
   
   
 

SAF/MRBR
550 C STREET WEST, SUITE 40
RANDOLPH AFB, TX 78150-4742

 

 

AFHQ FORM 0-2077, JAN 00 (EF-V2) Previous
CASE NUMBER
AIR FORCE DISCHARGE REVIEW BOARD DECISIONAL RATIONALE FD-2008-00266

GENERAL: The applicant appeals for upgrade of discharge to honorable, to change the reason and
authority for the discharge, and to change the reenlistment code.

The applicant appeared and testified before the Discharge Review Board (DRB), without counsel, at
Andrews AFB on 02 Nov 2010. The following additional exhibits were submitted at the hearing:

Exhibit #5: Applicant’s Contentions

Exhibit #6: two (2) Character reference letters.

The attached brief contains available pertinent data on the applicant and the factors leading to the discharge.

FINDING: The Board denies the upgrade of the discharge, change of reason and authority for discharge,
and change of reenlistment code.

The Board finds the applicant-submitted no issues contesting the equity or propriety of the discharge, and
after a thorough review of the record, the Board was unable to identify any that would justify a change of
discharge.

ISSUE: Applicant submitted no issues regarding the inequity or impropriety of his discharge. Applicant
did persist in his denial of culpability for the misconduct addressed by command through the Article 15
action he received -- that is his failure to pay $9,000.00 in rent to his Turkish national landlord. However, he
provided no exculpatory information or evidence that was unavailable to his commander at the time the
Article 15 was issued. Further, Applicant did not allege any improprieties in the processing of the Article 15
action. The DRB noted that Applicant had accepted the Article 15 forum after he had consulted with
counsel and did not appeal his commander’s subsequent finding of guilt. Thus, the DRB opined that the
Article 15 was warranted and appropriate for the misconduct it addressed. Applicant also submitted that he
should not be penalized indefinitely for a mistake he made when young and immature. The DRB
acknowledged that the applicant was 31 years of age when the discharge took place, and he had never before
rented an apartment or been required to pay for utility bills. Nonetheless, there is no evidence Applicant was
immature or did not know right from wrong. The Board opined the applicant was older than the vast
majority of first-term members who properly adhere to the Air Force’s standards of conduct. The Board
concluded that the negative aspects of the applicant’s service outweighed the positive contributions he made
in his Air Force career. The characterization of the discharge received by the applicant was found to be
appropriate due to the misconduct.

CONCLUSION: The Discharge Review Board concludes that the discharge was consistent with the
procedural and substantive requirements of the discharge regulation and was within the discretion of the
discharge authority and the applicant was provided full administrative due process.

In view of the foregoing findings, the Board further concludes that there exists no legal or equitable basis for
upgrade of discharge and determines the discharge should remain unchanged.

Attachment:
Examiner's Brief
—=—"5/ 06/2088 10:37 9815444329 CONGRESSMAN COHEN PAGE 63/86
.

~e

APPLICATION FOR THE REVIEW OF DISCHARGE OR DISMISSAL Form Approved

FROM THE ARMED FORCES OF THE UNITED STATES OMB No. 0704-0004
(Please read instructions on Pages 3 and 4 BEFORE completing this application.) Expires Aug 21, 2006

The public reporting burden for this collection of information ie estimated to averege 30 nvinutez per response, Inctuding the tims for reviewing inetructions, searching exiating deta sources,
gathering and maintaming the data needed, and completing end reviewing the cullection al Information. Sent comments regarding (his burden eatimate or any other agpect af thia collection
of Information, including suguestiona fer reducing the burdan, to Department of Oafanss, Waahington Headquercers Services, Directorate for Information Operations and Raperte (0704-0004),
12768 Je(farsan Davis Nighway, Sulte 1204, Arlington, VA 22202-4202, Respondenta snould be awere that notwithstanding any other provision of Inw, na person shall be subject ta ey
penalty for falling to comply with » collection of Information if It does not dlepiay a currently valld OMB contral number,

PLEAGE DO NOT RETURN YOUR FOAM TO THE ABOVE ADDRESS. RETURN COMPLETED FORM TO THE APPROPRIATE ADDRESS ON BACK OF THIS PAGE,

PRIVACY ACT STATEMENT
AUTHORITY: 10 U.S.C. 1553; E.0. 9397.

PRINCIPAL PURPOSE(S)}: To apply for a change in the characterization or reason for military discharge isaued to an individual,
ROUTINE USE(S): None.

DISCLOSURE: Voluntary; however, failure to provide identifying information may impede processing of thie application. Tha request for
Sorial Security Number is strictly to asaure proper identification of the individual and appropriate racorda.

1. APPLICANT DATA (The person whose discharge is to be reviewed). PLEASE PRINT OR TYPE INFORMATION.

Ii, APPLIGANT DATA [The parson whose dlecharge 7s to bo eviowed). PLEASE PRINT OR TYPE INFORMATION.
ra BRANCH OF SERVICE Xone) | [ARMY | [MARNEconPS | [wavy __LX’[amronce | [constauano |
4 AS AA as Firet Adiatcie initin

o, GHADE/RANK AT DISCHARGE ‘iin
Aye

2. DATE OF DISCHARGE OR SEPARATION &. BOARO ACTION REQUESTED /x one)
(YYYMMOD! I dete ie more then 78 yee |” “THoNORABLE SS SSSSSSSC*dS MANGE TOMONORASLE |
#92, submit » OD Form 148) XX cENERALJUNDER HONORABLE CORGMONG | GHANGE TO GENEMALNDER —_

[| wspen orien an vononanie SoNomone” | —1 Settee vo unctanAc TENTED
3. UNIT AND LOGATION AT DISCHARGE | | BAD CONDUCT (Speci) courvmacifonh) |_| five apleabe ord Aooeh |

OA SEPARATION S : | | UNCHARACTERED CHANGE NARRATIVE REASON FOR
Tamir Ae TTF OTHER lExpieial SERARATION'T.Os

AND JUSTIFICATION FOR THE REQUEST (Continue in tte 14, Sea igek id on

‘ Pape 3+) 14 pai lity te ere. ee i~pRired by 7 MOuth H rpmwtu eit 4"
Trequest for A Lpsrade. fo seek, better Creeer eppewtunihes

 

7. (X if applicable) AN APPLICATION WAS PREVIOUSLY SUBMITTED ON frryywmoo)

AND THIS FORM JS SUBMITTED TO ADD ADDITIONAL ISSUES, JUSTIFICATION, OF EVIDENCE.

. IN SUPPORT OF THIS APP ING ATTACHED DOCUMENTS ARE SUBMITTED AS E 3 (Continue in item 17,
If miltery documents or medical records ere relavent to your cese, please send copios.)

Dd aly ¢ Biches £/ Detive Deb

19. (9. TYPE QF REVIEW REQUESTED (Xone) TT OF REVIEW REQUESTED (9. TYPE QF REVIEW REQUESTED (Xone) TT one)
CONDUCT A RECORD REVIEW OF MY DISCHARGE BASED ON MY MILITARY PERSONNEL FILE AND ANY ADDITIONAL DOCUMENTATION
SUOMITTED BY ME. | AND/OR /counzel/raprecentativa) WILL NOT APPEAR BEFORE THE BOARD.
J ANDIOR (counset/epresentative/ WISH TO APPEAR AT A HEARING AT NO EXPENGE TO THE GOVERNMENT BEFORE THE BOARD IN THE
WASHINGTON, D.C. METROPOLITAN AREA,

| AND/OR (counsatrepresentative) WIGH TO APPEAR AT A HEARING AT NO EXPENSE TO THE GOVERNMENT SEFORE A TRAVELING PANEL CLOSEST 1
fenter erty end state) _. . os (NOTE: The Navy Discharge Review Boord does not have a traveling panel.)

([ 10.8) COUNSEL/REFREGENTATIVE (7 any) NAME (Lost, Fret, Midis Intiel] AND ADDRESS | b. TELEPHONE NUMBER [Include Ares Code]
(See ftem 10 of the Instructions about counsel/rapresentetive.)
d. FAX NUMBER /nciude Ares Code}

11. APPLICANT MUST SIGN IN ITEM 13.9. BELOW. if the record in question Ia that of 1 deceased or incompetent peraon, LEGAL PROOF OF
DEATH OR INCOMPETENCY MUST ACCOMPANY THE APPLICATION. If the application be signed by other than the applicant, indicat
the name (print/ and relatiorenip by marking a hox below.

‘[_|spouse | | wwow [ _|wiwower [| next orKn = LEGAL REPRESENTATIVE |_| OTHER (Specity)

12.8. CURHENT MAILING ADDRESS SE ARP ANT: OR PERSON ABOVE

13. CERTIFICATION. | make the foregoing statements, ae part of my claim, with full knowledge of ths CASE NUMBER

penaltise Involved for willfully making a {sise statement ar claim. (U.S. Code, Title 18, Sections 287 (Do not write in this space.

om a. 1, provide that an Individuel shal be fined under this title or imprisoned not more than & years,
or bot.

a. SIGNATURE - REQUIRED /Appiicent or person in tem 11 above) b. DATE SIGMED - REQUIRED
(VYYYMMDD) .

 

DD FORM 293, AUG 2003 PREVIOUS EDITIONS ARE OBSOLETE, Page 1 of 4 Pages

Paw | ?
ped
be
FD2008-00266

DEPARTMENT OF THE AIR FORCE
AIR FORCE DISCHARGE REVIEW BOARD
ANDREWS AFB, MD

1. MATTER UNDER REVIEW: Appl rec’d a GEN Disch fr USAF izmir AS, on 7 Sep 06 UP AFPD 36-32 &
AFI 36-3208, para 5.50.4 (A Pattern of Misconduct: Dishonorable Failure to Pay Just Debts). Appeals for
Honorable Disch.

 

2. BACKGROUND:
a. Dos: 10 Oct 74. Enlmt Age: 22 4/12. Disch Age: 31 10/12. Educ: HS DIPL.
AFQT: N/A. A-78, E-60, G-57, M-49. PAFSC: 3P051 — Security Forces Journeyman.
DAS: 8 May 04.
b. Prior Sv: (1) AFRes 2 Dec 96 - 25 Feb 97 (2 Mos, 23 Das)(Inactive).

(2) Enlisted as A1C on 26 Feb 97 for 4 yrs Svd: 4 Yrs 0 Mo 0 Das, all AMS.
EPRs: 4,5,2

(3) Reenlisted as SrA on 26 Feb 01 for 4 yrs Svd: 8 Yrs 1 Mo 26 Das, all AMS.
Extended as SrA on 4 Apr 06 for 12 mos.
EPRs: 4, 5,5,4,3 |
3. SERVICE UNDER REVIEW:
a. Reenlisted as SrA on 22 Apr 05 for 3 yrs 10 mos Svd: 9 Yrs 6 Mo 12 Das, all AMS.
b. Grade Status: A1C - 22 Jun 06 (Article 15)
SRA - 25 Nov 99
A1C - 26 Feb 97

c. Time Lost: None

d. Art 15's & Additional: LOR, 10 Apr 06 - Failure to pay rent - Didn’t pay landlord for housing between
Jul 05 and Mar 06

Art 15, 22 Jun 06, Izmir AS, TU - Article 92. You, who should have known of our
duties at Izmir AS, TU, between on or about 31 Jul 04 and 1 Jun 06,
were derelict in the performance of your duties that you negligently and
willfully failed to utilize your overseas housing allowance (OHA) to pay
your monthly rent in the manner in which it was intended, as it was your
duty to do.
FD2008-00266

Article 134, You, being indebted to Kurtul Kapanoglu, in the sum of
$9,000.00 for payment of rent that became due between Jul 04 and Jun
05 in the amount of $750.00 per month and became due and payable on
or about the following dates: 31 Jul 04, 30 Aug 04, 30 Sep 04, 31 Oct
04, 30 Sep 04, 31 Oct 04, 30 Nov 04, 31 Dec 04, 31 Jan 05, 28 Feb 05,
31 Mar 05, 30 Apr 05, 31 May 05, 30 Jun 05. Did at or near Izmir, TU 31
Jul 04 to 1 Jun 06, dishonorably fail to pay said debts. —

Reduction to the grade of A1C (E-3), with a new DOR of 22 Jun 06.
(No appeal)(No mitigation)

LOR, 6 Jul 06 — TLA voucher failure — Didn't file your Temporary Lodging
Allowance voucher so that lodging expense could be paid in a timely
_ manner.

e. CM: None

f. Record of Sv: 27 Dec 04 - 20 Sep 05 Izmir AS 4 (Annual)
, 21 Sep 05 - 15 Apr 06 Izmir AS 3 (CRO) Referral

g. Awards & Decs: AFOUA W/40LC, AFGCM W/20LC, NDSM, GWOTEM, GWOTSM, KDSM,
AFOSTR W/10LC, AFLSM W/10LC, USAFPMEGR

h. Stmt of Sv: TMS: (9) Yrs (9) Mos (5) Das
TAMS: (9) Yrs (6) Mos (10) Das

4. BASIS ADVANCED FOR REVIEW: Appin (DD Fm 293) dtd 20 May 08

ATCH: DD 214 (2 pages)

2FEBOO/JLL
DEPARTMENT OF THE AIR FORCE
425TH AIR BASE GROUP (USAFE)
IZMIR AIR STATION, TURKEY 09821

 

17 July 2006

MEMORANDUM FOR A | ji

FROM: 425 ABG/CC
SUBJECT: Notification Memorandum -- Board. Hearing

1. lam recommending your discharge from the United States Air Force for A Pattern of
Misconduct, Dishonorable Failure to Pay Just Debts according to AFPD 36-32, Military
Retirements arid Separations, and AFI 36-3208, Administrative Separation of Airmen, under the
provisions of paragraph 5.50.4. Copies of the attached documents to be forwarded to the
separation authority to support this recommendation are attached. .

_ 2, My reasons for this action are:

~~ a. On 6 July 2006, you received a Letter of Reprimand (LOR) for dereliction in the
performance of your duties in that you failed to file your temporary lodging allowance (TLA)
voucher every 10 days while residing in commercial billeting as it was your duty to do. You
‘checked into commercial billeting on 31 May 2006, yet as of 6 July 2006 (36 days after check-
in) you still had not filed a TLA voucher. You therefore could not pay the hotel bill when it was
past due and tried to negotiate with the hotel manager for a later payment date. This action was
included in your Unfavorable Information File (UIF).

= b. On 22 June 2006, you received Nonjudicial Punishment (NJP) for dereliction of duty
in not using your overseas housing allowance (OHA) far the purpose for which it was intended
and dishonorable failure to pay a debt (your rent) for a total amount of $9,000.00 over the period
of July 2004 to June 2005. For this action you received a reduction of rank to Airman First Class
(A1C) and a reprimand. This action was included in your UIF. :

~» ¢. On 10 April 2006, you received an LOR for willful failure to pay your rent for a total
amount of $6,750.00 over the period of July 2005 to March 2006. This document established
your UIF,

3. This action could result in your separation with a characterization of Under Other Than
Honorable Conditions (UOTHC). I am recommending that you receive a UOTHC discharge.
The commander exercising special court-martial jurisdiction or higher authority will make the
final decision in this matter. Lf you are discharged, you will be ineligible for reenlistment in the
Air Force and will probably be denied enlistment in any component of the armed forces.
4. You have the right to:
a. Consult legal counsel.

b. Present your case to an administrative discharge board.
c. Be represented by legal counsel at a board hearing.
d. Submit statements in your own behalf in addition to, or in lieu of, the board hearing.

e. Waive the above rights. You must consult legal counsel before making a decision to
waive any of your rights.

5. You have been scheduled for a medical examination. You must report to the Incirlik Medical
Treatment Facility for a medical appointment at 1245 hours on 18 July 2006. You must report
to the 425th Air Base Group Command Support Staff to obtain a medical/dental clearance
letter prior to your appointment.

6. .Military legal counsel, Capt eemrarcamamriilt Defense Counsel at Incirlik Air Base,
Turkey, 676-6908, has been obtained to assist you. An appointment has been scheduled for you
to consult him on 18 July 2006 at 1500 hours, at Incirlik Air Base, Turkey. Instead of the
appointed counsel, you may have another, if the lawyer you request is in the active military
service and is reasonably available as determined according to AFI 51-201, Administrative of
Military Justice. In addition to military counsel, you have the right to employ civilian counsel.
The Air Force does not pay expenses incident to the employment of civilian counsel. Civilian
counsel, if employed, must be readily available.

7. Confer with your counsel and reply, in writing, within 7 workdays, specifying the rights you
choose to exercise. The statement must be signed in the presence of your counsel who also will
sign it. If you waive your right to a hearing before an administrative discharge board, you may
submit written statements in your own behalf. I will send the statements to the discharge _
authority with the case file to be considered with this recommendation. If you fail to respond,
your failure will constitute a waiver of the right to the board hearing. .

8. Any personal information you furnish in rebuttal is covered by the Privacy Act of 1974. A
copy of AFI 36-3208 is available for your use at http://www.e-publishing.afmil or at 425th Air
Base Group Command Staff’s office.

9. If you request a board and you fail to appear without good cause, your failure to appear
constitutes a waiver of your right to be present at the hearing.

10. If you received advanced educational assistance, special pay, or bonuses, and have not
completed the period of active duty you agreed to serve, you may be subject to recoupment.
11. Execute the attached acknowledgement and return it to me immediately.

 

Commander

Attachments:
1. Letter of Reprimand, dated 6 July 2006 —
2. AF Form 1058, dated 13 July 2006
3. AF Form 3070, dated 22 June 2006 (with attachments)
4. Letter of Reprimand, dated 10 April 2006
5. AF Form 1058, dated 10 April 2006
6. Acknowledgement of Receipt of Notification Memorandum
05/96/2888 10:37 9815444329 CONGRESSMAN COHEN PAGE @3/66
;

_-

\ -

    

  

APPLICATION FOR THE REVIEW OF DISCHARGE OR DISMISSAL
FROM THE ARMED FORCES OF THE UNITED STATES

(Please reed instructions on Peges 3 and 4 BEFORE completing this application.)

Form Approved
OMB No. 0704-0004
Expires Aug 21, 2006

   
 

  
  

    
 

  
 

The public reporting burden for this collection of Information lt satimetad to averega 30 minutes par reaporize, Inchiding the timp for reviewing inetiuctiona, aeafahing edsthig dete nouwewa,
oatheting and maintaining the deta nvedad, and completing end reviewing the collection at information. Send comments regarding this burden satimate or any other azpert af this ecllection
of Informption, Including suggestions fov reducing the burdan, to Departnent of Dafanse, Wauhington Headquarters Services, Directorate for Information Operations and Reparte (0704-00041,

1218 Jetfarson Davis Highway, Suite 1204, Arlington, VA 22202-4202, Respendenta amould be aware thet notwithstanding any other provision ot iaw, na person shall be subject to ety
ponalty for failing to comply with v eallection of information if It dees not dlepiay & currently valld OMB contral number.

PLEASE DO NOT RETURN YOUR FOAM TO THE ABOVE ADDRESS. RETURN COMPLETED FORM TO THE APPROPRIATE ADDRESS ON BACK OF THIS PAGE,
PRIVACY ACT STATEMENT ~

 
       
   
   
    

AUTHORITY: 10 U.S.C. 1553; £.0. 9397.
PRINCIPAL PURPOSE(S): To apply for a change in the characterization or reason for military discharge isaued to an individual,

ROUTINE USE(S): Nona.
DISCLOSURE: Voluntary; however, failure to provide idantifying information may impede processing of thia application. Tha request tor

Socia| Security Number is strictly to assure proper identification of the individual and appropriata racorda.

4. APPLICANT DATA (The person whose discharge is to be reviewed). PLEASE PRINT OR TYPE INFORMATION.
a. BRANCH OF SERVICE /X one) Manineconrs | [Navy LA] ainFonce =] = fcoasT@uarD

b. NAME (Lest, First, Middle Init/al) o, GRADE/RANK AT DISCHARGE d. SOCIAL SECURITY NUMBER

= AyYe .
2. DATE OF 4, DISCHARGE CHARACTERIZATION RECEIVED /X one) |G. BOARO ACTION REQUESTED (x one)
(YVYYMMDO) iif date iz mors then 18 years | [HONORABLE CLM CHANGETOHONORASLE

ee; muse @i0O fonw 145+ CHANGE T0 GENERAL/UNDER
MONORADLE CONDITIONS
| CHANGE TO UNCHARACTERIZED

 
   
 
     
  

  
  
     
 
 
   

  
   

    

  
 

3, UNIT AND LOCATION AT DISCHARGE |_| (aonopicatle far A Perce!
CHANGE NARRATIVE REASON FOR
SEPARATION TO:

OA SEPARATION

 
 
  

   
  
 

 
    
 

g U AND JUSTIFICATION FOR THE REQUEST (Continue in htam 14, See instructions on

: J DE OR f UES
1™My pdilitty toser ms inpRired by my Outh ti ametority,
Treqvestfor lA Lpsrade. to seek better Cheeer epperhon ites

7. OX If applicable) AN APPLICATION WAS PREVIOUSLY SUBMITTED ON rryrymmupo} ‘
AND THIS FORM JS SUBMITTED TO ADD ADDITIONAL ISSUES, JUSTIFICATION, OR EVIDENCE. .
8. IN SUPPORT OF THIS APPLICATION, THE FOLLOWING ATTACHED DOCUMENTS ARE SUBMITTED AS EVIDENCE: /Continve in Item 17.
If militery documents or medical records era relavent to your case, pleste send copias,)

DD AalY C¢ Discharged £/ Dctive. Deb

‘|B. TYPE OF REVIEW REQUESTED (X one) ‘
CONDUCT A RECORD REVIEW OF MY DISCHARGE BASED ON MY MILITARY PERSONNEL FILE AND ANY ADDITIONA), POCUMENTATION
/\,| SUSMITTED BY ME. | AND/OR fcounsel/raprecentative) WILL NOT APPEAR BEFORE THE BOARD. ,
J ANDIOR (counsel/representative} WISH TO APPEAR AT A HEARING AT NO EXPENGE TO THE GOVERNMENT BEFORE THE BOARD IN THE
WASHINGTON, D.C. METROPOLITAN AREA,

| AND/OR (counsal/rapresentative} WISH TO APPEAR AT A HEARING AT NO EXPENSE TO THE GOVERNMENT BEFORE A TRAVELING PANEL CLOSEST TO
(NOTE: The Navy Discharge Review Boord does not have 2 trevaling penel.}

    
   
  

Pega 3,

 
 
  

 
 
   
   
 

 

    
    
      

   
  
  

 

fenter city and tote) eeemrerrermenetsisti
Cf 10.8) COU REPRESENTATIVE (/f any) NAME (Lest, Arse, Middle Initisl) AND ADDRESS |b, TELEPHONE NUMBER finciude Aree Code} °
(See item 10 of the Instruction: about counseV/mprosontetive.) %

    
 
   

   

d. FAX NUMBER /inciuce Ares Code/

11. APPLICANT MUST SIGN IN ITEM 13.8. BELOW, {f tha record In question Is that of a deceased of Incompotant person, LEGAL PROOF OF
DEATH OR INCCMPETENCY MUST ACCOMPANY THE APPLICATION. If the application ls signed by other than the applicant, indicata
the name (print) ond relationship by marking a hox balow.

‘L__|srouse{ [wow | _|wiowen | | wexrorxm | | .EGAL REPRESENTATIVE, | OTHER (Specify)

13. CERTIFICATION. | make tha foregoing etetements, as part of my claim, with full knowledge of ths CASE NUMBER
penaltice involved for wilfully making a false statement ar claim. (U.S. Code, Title 18, Sections 287 (Do not write In this space.
and | 1, provide that an Individual shall be fined under this title or imprisoned net more than & yeers,
or .

a. SIGNATURE - REQUIRED (Appliceot oc person in item 11 above) b. DATE SIGNED » REQUIRED
{YYYYMMDD) —-

 
   
   

        
     

 
  
  
   
  

 
  
  
  
    
 
 
     

DD FORM 293, AUG 2003 PREVIOUS EDITIONS ARE OBSOLETE, Page 1 of 4 Pages
CAUTION: NOT TO BE USED FOR THIS IS AN IMPORTANT RECORD. ANY ALTERATIONS IN SHADED AREAS
IDENTIFICATION PURPOSES SAFEGUARD IT. RENDER FORM VOID

      
   
 
  
 
 
 
 
  

   

CERTIFICATE OF RELEASE OR DISCHARGE FROM ACTIVE DUTY
Mid 2. DEPARTMENT, COMPONENT AND BRANCH

AIR FORCE -- USAF
5. DATE OF BIRTH (yyyymMpo) | 6. RESERVE OBLIGATION TERMINATION DATE

19741010 {yyryumop) NONE
Ya. PLACE OF ENTRY INTO ACTIVE DUTY b. HOME OF RECORD AT TIME OF ENTRY{City and state, or complete address if known)

  
  
  
   

 

 

MEMPHIS TN
b. STATION WHERE SEPARATED

MEMPHIS TN
8a. LAST DUTY ASSIGNMENT AND MAJOR COMMAND

425 AIR BASE GROUP AFE
9. COMMAND TO WHICH TRANSFERRED

NOT APPLICABLE

11. PRIMARY SPECIALTY (List number, title and years and months in
specialty. List additional specialty numbers and titles involving periods of

   

APO AE

12. RECORD OF SERVICE

     
     
 

10. SGLI COVERAGE | NONE
AMOUNT: $499.000

    
  

     
   
  
 
  
   

 

 

  

one or more years.

3P051, SHOURITY FORCES JOURNEYMAN,
9YRS 7MTHS

 
  

 
       
 
  

d, TOTAL PRIOR ACTIVE SERVICE
a. TOTAL PRIOR INACTIVE ‘SERVICE
f. FOREIGN SERVICE

g. SEA SERVICE
h. EFFECTIVE DATE OF PAY GRADE

14, MILITARY EDUCATION(Course title, number of weeks,
year completed}

Airmen Leadership School,
6wks, 0305; Air Force Training
Course, 24hrs, 0605; Security

   
   
   
   

ED

and month and

    
 

13. DECORATIONS, MEDALS, BADGES, CITATIONS AND CAMPAIGN
RIBBONS AWARDED OR AUTHORIZED [AM periods of service]

Air Force Outstanding Unit Award
w/ 4 Oak Leaf Olusters (OLG), Air
Force Good Conduct Medal w/ 2 OLO,
National Defense Service Medal, Apprentice Course, 160hrs,
Global War on: SEE REMARKS 0997: SEE REMARKS

153. MEMBER CONTRIBUTED TO POST-VIETNAM ERA VETERANS" EDUCATIONAL ASSISTANCE PROGRAM |__|Yes|_X |
b. HIGH SCHOOL GRADUATE OR EQUIVALENT YEs| |
Y

16. DAYS ACCRUED LEAVE 7. MEMBER WAS PROVIDED COMPLETE DENTAL EXAMINATION AND ALL APPROPRIATE_YES|
PAID 40 5 DENTAL SERVICES AND TREATMENT WITHIN 96 DAYS PRIOR TO SEPARATION

    
   
  
   
 

    
       
  
   
  
   
   

    
    

      
  
 

 
  
 
   

  
 
 
     
 

NO

 

   
 

    
 

    

DD Form 214-AUTOMATED, FEB 2000 PREVIOUS EDITION IS OBSOLETE. MEMBER-1
CAUTION: NOT TO BE USED FOR
IDENTIFICATION PURPOSES

 

THIS IS AN IMPORTANT RECORD.
SAFEGUARD IT.

 

ANY ALTERATIONS IN SHADED AREAS
RENDER FORM VOID

     

 

2, DEPARTMENT, COMPONENT AND BRANCH
AIR FORCE -- USAF

 

5. DATE OF BIRTH (YYYYMMOD)
19741010

6. RESERVE OBLIGATION |
(vvyvymMMoD) NONE

b, HOME OF RECORD AT TIME OF ENTRY/City and state, or complete address if known}

MEMPHIS TN

11. PRIMARY SPECIALTY (List number, title and years and months in
specialty. List additional specialty numbers and titles involving ‘periods of

one or more years.

3P051, S$ ITY FORCES JOURNEYMAN,
SYRS 7MIHS

13. DECORATIONS, MEDALS, BADGES, CITATIONS AND CAMPAIGN
RIBBONS AWARDED OR AUTHORIZED = [Ad periads of service}
Air Force Outstanding Unit Award

w/ 4 Oak Leaf Clusters (OLC), Air

Force Good Gonduct Medal w/ 2 OLOC,

National Defense Service Medal,
Global War on: SEE REMARKS

MEMPHIS TN
8a. LAST DUTY ASSIGNMENT AND MAJOR COMMAND b. STATION WHERE SEPARATED

425 AIR BASE GROUP APO AE

- | NOT APPLICABLE ae $400 om

| | NONE

12, | 12,RECORD OF SERVICE OF SERVICE
a. Loe Become OF eS | ENTERED AD THIS PERIOD
b. SEPARATION DATE THIS PERIOD
c. NET ACTIVE SERVICE THIS PERIOD
d. TOTAL PRIOR ACTIVE SERVICE
s. TOTAL PRIOR INACTIVE SERVICE
f. FOREIGN SERVICE
g. SEA SERVICE

h. EFFECTIVE DATE OF PAY GRADE

14, MILITARY EDUCATION/Course title, number of weeks, and month and
year completed)
Airmen Leadership School,

6wks, 0305; Air Force Training
Course, 24hrs, 0605; Security
Apprentice Course, 160hrs,

0997: SEE REMARKS

 

1Sa. MEMBER CONTRIBUTED TO POST-VIETNAM ERA VETERANS’

b. HIGH SCHOOL GRADUATE OR EQUIVALENT

 

16. DAYS ACCRUED LEAVE 17, MEMBER WAS PROVIDED COMPLETE DENTAL EXAMINATION AND ALL APPROPRIATE |_YES
PAID 49 5 DENTAL SERVICES AND TREATMENT WITHIN 90 DAYS PRIOR TO SEPARATION ra

DD Form 214-AUTOMATED, FEB 2000

 

PREVIOUS EDITION IS OBSOLETE.

MEMBER-4