SECRET (When Filled In)
REPORT OF SERVICE ABROAD
TO:
Office of Personnel, Transactions and Records Branch, Status Section
SERIAL NO. 016632
NAME: LAST (Print) WARDES FIRST JAMES MIDDLE S
INSTRUCTIONS:
USE APPROPRIATE SPACE BELOW TO REPORT DATA FOR EITHER PCS OR TDY. INSERT APPROPRIATE CODE NUMBER IN "CODE" COLUMN FOR TYPE OF DATA, COUNTRY, AND AREA. FOR PCS DATA, COMPLETE ALL COLUMNS. FOR TDY DATA, COMPLETE ONLY COLUMNS 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, AND 11. REPORT DATES BY USING THE NUMBER FOR THE MONTH, AND LAST TWO DIGITS OF THE YEAR, E.G., 01/61.
PCS DATES OF SERVICE
DEPARTURE DATE 1/15/63 ARRIVAL DATE 1/16/63 CODE 1 COUNTRY 291 AREA 2
TDY DATES OF SERVICE
DEPARTURE DATE 12/13/63 ARRIVAL DATE 12/14/63 CODE 032 COUNTRY 291 AREA 2
OFFICE OF PERSONNEL USE ONLY - PUNCH AREA
SOURCE DOCUMENT FOR CERTIFICATION
TRAVEL VOUCHER
CABLE 2-61 STATUS IN TIME AND ATTENDANCE REPORT
STUB 2 (Specify)
ACCOUNT IDENTIFICATION
SIGNATURE AND TITLE OF CERTIFYING OFFICER
DATE 1/15/63
THIS REPORT WILL BE FILED IN THE OFFICE OF PERSONNEL IN THE INDIVIDUAL'S OFFICIAL PERSONNEL FOLDER
SECRET