ODC blank form: www.bupers.navy.mil Degrees/Courses info for ODC: https://buperscd.technology.navy.mil/bup_updt/508/officerclassification/ii/officerclasstwomenu.htm Note 1: All email addresses are @persnet.navy.mil except as noted for blocks 47, 66, 67, 68 Note 2: All Commercial Number prefixes: (901) 874; DSN prefix: 882 except for blocks 47, 66, 67, 68 Note 3: All Commercial Number prefixed (504) 697; DSN prefix: 647 BLOCK BLOCK NAME POC EMAIL POC ADDRESS POC PHONE # INFORMATION REQUIRED TO MAKE CHANGE 1 SSN NSIPS Information Technology Center Official correspondence from your command, SS Card 2 Name NSIPS Information Technology Center 3 Sex NSIPS Information Technology Center 4 5 6 Designator (4 th digit for augumentation only) Grade Year Group Your Detailer p911c (for reserves) (P801G) p8021 p861c7 (for TAR) p8021 p861c7 (for TAR) PERS-your detailer's code/811/921 PERS-XXX PERS-XXX (Detailer) 4491 2753 (fax) 4937 (PERS-851) 2751 (851 fax) 4537 (PERS-861c7) 4937 (PERS-851) 2751 (851 fax) 4537 (PERS-86) Official correspondence from your command, legal documents Birth Certificate Official correspondence from your command Signed A & O Officer Appointment and Oath of Office (NAVCRUIT 1000-20)
7 Precedence Number p851 p861c7 (for TAR) PERS-851/861 8 Birth Date NSIPS Information Technology Center 9 Promotion List Service Date 10 Previous Military Service p8021 p822 PERS-8021 Millington, TN 38055-8510 PERS-822 Millington, TN 38055-8220 11 Submarine Qual p421e PERS-421E Millington, TN 38055-4210 12 Heavier than Air Qual 13 Naval Flight Officer Qual 14 Projected Rotation Date Your Detailer 15 Activity Estimated Loss Your Detailer Sep/Ret P8 4937 (PERS-851) 2751 (851 fax) 4537 (PERS-86) 4937 2751 (fax) 3180 2622 (fax) 3934 2648 (fax) IAW MILPERSMAN 1000-120 NAVPERS 1070/26
Code/Date 16 Pay Entry Base Date p822 PERS-822 17 Service Date p822 p861c7 (for TAR) Millington, TN 38055-8220 PERS-822/86 18 Eligible to Retire Date p822 PERS-822 Millington, TN 38055-8220 19 Active Commission Base Date 20 Active Duty Service Date p822 p822 PERS-822 Millington, TN 38055-8220 PERS-822 Millington, TN 38055-8220 21 Current Gain Date NSIPS Information Technology Center 22 23 Professional Service Date Minimum Service Required p822 Your Detailer PERS-822 Millington, TN 38055-8220 3180 2622 (fax) 3180 (PERS-822) 2622 (822 fax) 4537 (PERS-86) 3180 2622 (fax) 3180 2622 (fax) 3180 2622 (fax) 3180 2622 (fax) Official correspondence from your command 24 Source Code P802 4846
PERS-312G Millington, TN 38055-3120 25 Dependents NSIPS Information Technology Center 26 Aviation Commission Date 27 Aviation Service Entry Date 28 Months of Operational Flying 29 Months to Gate 30 Months of Operations Flying Required 31 Aviation Gate 32 Aviation Status Indicator 2660 (fax) Current Page 2 (NAVPERS 1070/602)
33 34 35 36 37 38 Aviation Billet Indicator Primary Aeronautical Designator 34a. Service Group Aviation Status Indicator Effective Date Promotion History Promotion Status Spot Grade 39 Spot Grade Date of Rank 40 41 Permanent Grade Nuclear Commission Date p8021 p861c7 (for TAR) p8021 p861c7 (for TAR) p8021 p861c7 (for TAR) p8021 p861c7 (for TAR) p8021 p861c7 (for TAR) p421e PERS-XXX PERS-XXX PERS-XXX PERS-XXX PERS-XXX PERS-421E Millington, TN 38055-4210 4937 (PERS-851) 2751 (851 fax) 4537 (PERS-86) 4937 (PERS-851) 2751 (851 fax) 4537 (PERS-86) 4937 (PERS-851) 2751 (851 fax) 4537 (PERS-86) 4937 (PERS-851) 2751 (851 fax) 4537 (PERS-86) 4937 (PERS-851) 2751 (851 fax) 4537 (PERS-86) 3934 2648 (fax) Appointment Letter (NAVPERS 1421/7) Appointment Letter (NAVPERS 1421/7) Appointment Letter (NAVPERS 1421/7) Appointment Letter (NAVPERS 1421/7) Appointment Letter (NAVPERS 1421/7)
42 43 44 45 46 Nuclear Service Control Date Nuclear Status Indicator Submarine Service Entry Date Submarine Status Indicator Submarine Service Control Date p421e p421e p421e p421e p421e 47 Academic Profile Code kcollyer@nps.navy. mil (Naval Postgraduate School) 48 Aviation Officer Continuation Pay/Years Extention PERS-421E Millington, TN 38055-4210 PERS-421E Millington, TN 38055-4210 PERS-421E Millington, TN 38055-4210 PERS-421E Millington, TN 38055-4210 PERS-421E Millington, TN 38055-4210 Director of Admissions Code 01B3 Naval Postgraduate School 589 Dyer Road Room 103C Monterey, CA 93943-5100 49 50 51 Designator History P822 PERS-822 Millington, TN 38055-8220 3934 2648 (fax) 3934 2648 (fax) 3934 2648 (fax) 3934 2648 (fax) 3934 2648 (fax) (831) 656-3093 DSN prefix: 878 2891/2640 (fax) 3180 2622 (fax) Original transcripts from all undergraduate and any graduate schools attended. 52 Service Schools NSIPS Information Technology Center Course title, school location, completion date, course
p45j (for all joint service schools and NWC) 53 Service College Bank p440a/c PERS-440A/C Millington, TN 38055-4400 54 Formal Education NSIPS Information Technology Center 55 Year Completed NSIPS Information Technology Center 56 Navy-Sponsored Postgraduate Education NSIPS Information Technology Center 57 Block 56 Codes NSIPS Information Technology Center 58 Level of Education NSIPS Information Technology Center 59 Major Field of Study NSIPS Information Technology Center 4100 2676 (fax) duration, and diploma/certificate of completion. Degree Degree Certificate of completion for Navy-sponsored postgraduate courses. Certificate of completion for Navy-sponsored postgraduate courses. Degree Degree
60 Specialization Within Block 59 NSIPS Information Technology Center 61 >18 hrs Postgraduate NSIPS Information Technology Center Education Completed 62 Language Proficiency NSIPS Information Technology Center 63 64 Year DLPT Administered 65 Proficiency in More Than Two Languages 66 Subspecialty Code NSIPS NSIPS p440e2 *all Medical suffixes @us.med.navy.mil Medical Corps: jrdevoll Information Technology Center Information Technology Center PERS-440E2 Millington, TN 38055-34400 BUMED MED-x (see below) 2300 E. Street NW 4057 (PERS-440E2) 2676 (440E2 fax) Medical Corps: (202) 762-3396 fax: Nurse Corps: Degree Transcripts of completed graduate education. Defense Language Proficiency Test results; Language Proficiency Questionnaire (if selfevaluated).
67 68 Subspecialty Code Subspecialty Code Nurse Corps: adlambert Dental Corps: rdfoss Medical Service Corps: awbarrow p440e2 *all Medical suffixes @us.med.navy.mil Medical Corps: jrdevoll Nurse Corps: adlambert Dental Corps: rdfoss Medical Service Corps: awbarrow p440e2 *all Medical suffixes @us.med.navy.mil Washington, D.C. 20372-5300 Medical Corps: 00MCB4 Nurse Corps: 00NCB3 Dental Corps: 00DCB Medical Service Corps: 00MSC PERS-440E2 Millington, TN 38055-34400 BUMED MED-x (see below) 2300 E. Street NW Washington, D.C. 20372-5300 Medical Corps: 00MCB4 Nurse Corps: 00NCB3 Dental Corps: 00DCB Medical Service Corps: 00MSC PERS-440E2 Millington, TN 38055-34400 (202) 762-3039 fax: 3727 Dental Corps: (202) 762-3025 fax: 3023 Medical Service Corps: (202) 762-3072 fax: 1626 4057 (PERS-440E2) 2676 (440E2 fax) Medical Corps: (202) 762-3396 fax: Nurse Corps: (202) 762-3039 fax: 3727 Dental Corps: (202) 762-3025 fax: 3023 Medical Service Corps: (202) 762-3072 fax: 1626 4057 (PERS-440E2) 2676 (440E2 fax) Medical Corps:
69 70 71 72 Additional Qualification Designations Medical Corps: jrdevoll Nurse Corps: adlambert Dental Corps: rdfoss Medical Service Corps: awbarrow Your Detailer BUMED MED-x (see below) 2300 E. Street NW Washington, D.C. 20372-5300 Medical Corps: 00MCB4 Nurse Corps: 00NCB3 Dental Corps: 00DCB Medical Service Corps: 00MSC 73 Primary Duty NSIPS Information Technology Center 74 75 Accounting Category Code NSIPS Information Technology Center 76 Date Reported NSIPS Information Technology Center (202) 762-3396 fax: Nurse Corps: (202) 762-3039 fax: 3727 Dental Corps: (202) 762-3025 fax: 3023 Medical Service Corps: (202) 762-3072 fax: 1626 Official correspondence from your command; FITREPs. Official correspondence from your command. Official correspondence from your command.
77 Present Duty Station NSIPS Information Technology Center 78 Type of Assignment NSIPS Information Technology Center 79 Subspecialty Utilization p440e2 PERS-440E2 Millington, TN 38055-4400 80 Homeport NSIPS Information Technology Center 81 Ship/Station Code NSIPS Information Technology Center 82 Present Billet NSIPS Information Technology Center 83 Navy Officer Billet Classification NSIPS Information Technology Center 4057 2676 (fax) FITREPs
84 Date of Block 83 NSIPS Information Technology Center 85 Previous Billet NSIPS Information Technology Center 86 NOBC for Block 85 NSIPS Information Technology Center 87 Months for Block 85 NSIPS Information Technology Center 88 Previous Billet NSIPS Information Technology Center 89 NOBC for Block 88 NSIPS Information Technology Center 90 Months for Block 88 NSIPS Information Technology Center FITREPs FITREPs; letters of appointment. FITREPs; letters of appointment. FITREPs; letters of appointment. FITREPs; letters of appointment.
91 Chronological History/Navy Officer Classification/Number of Months Experience NSIPS Information Technology Center 92 Security Clearance p8311 PERS-8311 Millington, TN 38055-8311 93 94 Security Clearance Date Postgraduate Choice Information P8311 Your Detailer PERS-8311 Millington, TN 38055-3120 95 Race Self Service on BOL PERS-312G Millington, TN 38055-3120 96 Ethnic Group Self Service on BOL PERS-312G Millington, TN 38055-3120 97 Occupation Code for LDO/CWO Your Detailer 98 UIC NSIPS Information Technology Center 99 Billet Sequence Code NSIPS Information Technology Center 4403 2627(fax) 4846 2660 (fax) 4846 2660 (fax) 4846 2660 (fax) FITREPs; letters of appointment. Official correspondence from your command.
100 101 102 Gain/Loss Indicator Your Detailer 103 Command and Operational Screen Results Your Detailer 104 Detailer's Remarks Your Detailer 105 106 107 108 109 110 Placement Cogizance Code/Assignment Officer Code Your Detailer Information to be included for Blocks 4, 14, 15, 23, 72, 97, 102, 103, 107 (regarding Detailers) Note 1: All email addresses are @persnet.navy.mil except as noted for blocks 47, 66, 67, 68 Note 2: All Commercial Number prefixes: (901) 874; DSN prefix: 882 except as noted for blocks 47, 66, 67, 68 Note 3: All Commercial Number prefixed (504) 697; DSN prefix: 697 Community POC POC Address POC POC Phone # Fax # Surface Warfare p41a 3927 2757
PERS-41A Millington, TN 38055-4100 Submarine Warfare p421e PERS-421E Millington, TN 38055-4210 Aviation Warfare Engineering Duty Officer p445f PERS-445F Millington, TN 38055-4450 Aerospace Engineering/Aviation Maintenance Duty Officer p446b1 PERS-446B1 Millington, TN 38055-4460 Professional Acquisition p447 PERS-447 Millington, TN 38055-4470 Public Affairs p448b PERS-448B Millington, TN 38055-4480 Meterology/Oceanography p449b PERS-449B Millington, TN 38055-4490 Cryptology p4410a PERS-4410A Millington, TN 38055-4410 Intelligence p4411a 3993 2744 3934 3294 4108 3837 4025 4110 4080 2648 2721 2676 2676 2676 2676 2711 2739
PERS-4411A Millington, TN 38055-4411 Supply Corps p4412q PERS-4412Q Millington, TN 38055-4412 Civil Engineering Corps p4413s PERS-4413S Millington, TN 38055-4413 Chaplain Corps p4414s PERS-4414E1 Millington, TN 38055-4414 Medical (including Medical Service, Dental, and Nurse Corps) p4415a1 PERS-4415A1 Millington, TN 38055-4415 Judge Advocate General Corps p4416b PERS-4416B Millington, TN 38055-4416 TAR (including Surface and Aviation) p4417f PERS-4417F Millington, TN 38055-4417 Fleet Support p4419s PERS-4419S Millington, TN 38055-4419 4624 4031 3996 4097 4082 4063 4054 2684 2681 2755 2680 2679 2755 2676