SECRET (When filled in)

REPORT OF SERVICE ABROAD

TO: Office of Personnel, Transactions and Records Branch, Status Section:

SERIAL NO. LAST FIRST MIDDLE
01C032 WOODS JAMES S

INSTRUCTIONS
Use appropriate space below to report data for either TDY or PCS. Insert appropriate code number in "CODE" column to designate whether submission is original, correction, or cancellation of data reported. Report dates by writing the month, day, and year. Use last name, first name, and middle initial.

PCS DATES OF SERVICE
ARRIVAL DATE DEPARTURE DATE TYPE OF DATA COUNTRY CODE
MO DAY YEAR MO DAY YEAR PCS (Regular) ENGLAND 210
CORRECTION
CANCELLATION

TDY DATES OF SERVICE
ARRIVAL DATE DEPARTURE DATE TYPE OF DATA AREAS CODE
MO DAY YEAR MO DAY YEAR TDY (Regular) 41-41
CORRECTION
CANCELLATION

OFFICE OF PERSONNEL USE ONLY - PUNCH AREA

SOURCE, VOUCHANT AND CERTIFICATION
TRAVEL VOUCHER DISPATCH
CABLE DUTY STATUS OR TIME AND ATTENDANCE REPORT
Other (Specify)
DOCUMENT IDENTIFICATION NO. DOCUMENT DATE/PERIOD

REMARKS

PREPARED BY ABOVE DATA CERTIFIED CORRECT, BASED UPON SOURCE DOCUMENT CITED
NAME (Print) SIGNATURE DATE

THIS REPORT WILL BE FILED IN THE OFFICE OF PERSONNEL IN THE INDIVIDUAL'S OFFICIAL PERSONNEL FOLDER

FORM 1451a 1-69 SECRET