1. No of Dependent
Sex/Race
#S -
SECTION I – Assignment Information
OS/Deployment Combat Duty
# M
RANK - DORBRIEF DATE NAME PMOS SSN COMPONENT
ENLISTED RECORD BRIEF
SECTION II – Security Data SECTION III – Service Data SECTION IV – Personal/Family Data
Start-End Date CT MO TS TT
PSI Status Fld Det PS Stat
PSI Invest INIT
PSI Invest Compl
#L -
BASD PEBD BESD
ETS DIEMS Reenl Elig/Prohib
# Days Lost AGCM Dt AGCM Elig Dt
Date of Birth Birthplace
Country of Citz
No of Dependent
Adults/ChildrenC
# M
O
R
TOT:
Dwell Time
Start
Month - Days
DEROS
DROS
p
SECTION V – Foreign Language
Language Read Listen Speak
# Days Lost AGCM Dt AGCM Elig Dt
PVT PV2 PFC SPC - CPL
DOR
SGT SSG SFC MSG - 1SG
DOR
DOR SGM - CSM
SECTION VII – CIVILIAN Education
Level Completed Yr
DESG
Instit tion Yr
Religion
Marital Status Spouse Birthplace/Citz
PULHES Height/Weight
EFMP Dt #Cmd Sponsored
Ph i l C t APFT Dt P/F Score
Bonus MOS
Bonus Enlist Elig Dt
Technical Certification
Number Of Semester Hours Completed
y
DLAB
SECTION VI – Military Education
MEL/MES
Course Year
Date Dependents Arrived OS
PMOS SQI
SMOS PDSI/YRMO
ASI
Promotion Points/YRMO
Prev Promotion Points/YRMO
Prom Seq# Prom Select Dt
P i MOS
Institution Yr
Institution Yr
Discipline
Course Name Dt Certified Dt Expires
SECTION VIII Awards and Decorations
Physical Category APFT Dt P/F Score
Last Physical Exam MMRB Results/Dt
Home of Record
Mailing Address
Mil Spouse SSN/MPC
Discipline
ACH
TECH
Promotion MOS
ASVAB Test # / Dt /
GT ELEC FOOD
ADMIN FA COMMO
CMBT MECH MAINT
Delay Separation Reason
AEA / Dt
Flag Code Flag Start Dt Flag Expiration Dt
SECTION VIII – Awards and Decorations Mil Spouse SSN/MPC
Svc Comp / DoD
Emergency Data Verified Date
SECTION X - Remarks
HIV YRMO
RGMT AFL
Date Last Photo
Correspondence CRS Total # Hrs
Date of Loss Date of Last PCS Date of Last NCOER
SECTION IX – Assignment Information
ASGT FROM MO UNIT NO ORGANIZATION STATION LOC COMD DUTY TITLE DMOS ASI LANG
BMQ
For Official Use Only
Privacy Act Data In Accordance With Privacy Act of 1974
Dispose of this Properly
JSCM 1
ARCOM 2
AAM 5
JMUA 1
AGCM 2
NDSM 1
ACM-CS 1
ICM-CS 1
GWTEM 1
GWTSM 1
NOPDR 3
ASR 1
OSR 2
ARCOT 1
AFRMM 1
NATOMDL 1
COA 3
CAB 1
MQBM-R 1
PROJ
Current 20150122 WJWRC0 0003FASQD FT HOOD US FC FIRE CONTROL SGT 13D3O 00
1st Prev 20120523 WA0UAA 0017FAFIRES BDE JBLM LEWI US FC FIRE CONTROL SGT 13D2O 00
2nd Prev 20110216 WA0UAA 0017FAFIRES BDE JBLM LEWI US FC FIRE CONTROL SGT 13D3O 2S
3rd Prev 20110101 WA0UAA 0017FAFIRES BDE JBLM LEWI US FC FIRE CONTROL SGT 13D2O 00
4th Prev 20100628 WA0UAA 0017FAFIRES BDE JBLM LEWI US FC FIRE CONTROL SGT 13D2O 00
5th Prev 20090724 0 WA0UHD 0017FAHOME DETACHM FT LEWIS US FC MAIL ROOM CLERK 13D1O 00 YY
6th Prev 20090601 1 WA0UAA 0017FABDE FT LEWIS US FC S3 CLERK 13D1O 00 YY
7th Prev 20090428 2 WA0U01 0017FABDE REPL FT LEWIS US FC S3 CLERK 13D1O 00 YY
8th Prev 20090216 2 WAT4A0 0003HQCO A FT HOOD US FC FATDS SPECIALIST 13D1O 00 YY
9th Prev 20060923 41 WAT4AA 0003HQCORPS FT HOOD US FC FATDS SPECIALIST 13D1O 00 YY
10th Prev 20060719 3 WC7UT1 0003FA FSE FT HOOD US FC FATDS SPECIALIST 13D2O 00 YY
11th Prev 20030301 36 WQLVB0 BTRY B, 1/487TH FA WAHIAWA US FC FDC 13D1O 00 YY
12th Prev 20030201 2 W2NTA0 BTRY A 1BN 22FA TR FT SILL US TC AIT 13D1O 00 YY
13th Prev 20000509 24 W8HWAA US FORCES KOREA SUPPOR FT SHAFTE US FC IMO 25B1O 00 YY
14th Prev 20000110 4 W0U5AA COF 369SIGBN 15SIGBDE FT GORDON US TC AIT 25B1O 00 YY
15th Prev 19991008 3 W0U67A 120TH AG BATTALION RECECTION FT JACKSO US TC BASIC TRAINING 25B1O 00 YY
16th Prev
17th Prev
18th Prev
19th Prev
20th Prev
21st Prev
22nd Prev
23rd Prev
24th Prev
TRCMDS CPOSCD TRCUAD FYCAL________________________________________________________
________________________________________________________
ASCO
C3 - PHYSICAL LIMITATIONS
K3 - INSTRUCTOR VOLUNTEER
K6 - ACTIVE COMPONENT/RESERVE COMPONENT ADVISOR
VOLUNTEER
V1 - RECRUITING DUTY PREFERRED
13DDIXON, JOSHUA LEE SSG 20130201 XXX-XX-845020150623 REGULAR
2
0
20140621-20141118
20061128-20080212
20050125-20051117
5
15
10
AF
IZ
KU
1
1
1
C
C
C
3
0
0
30
0
0
30
20141118
7 Mo 2 Days
L /
20130111 20130111
104
91
108 102
99
102106
98
102
112
ASVAB 02 19990801
13D
25B
O
/
00
20140904
SECRET NONE
20060511
20060804
SSD3/ENROLLED
ADV LDR CRS (ALC)
PRECISION STRIKE SUITE
COMBAT LIFE SAVERS CRS
WARRIOR LEADER CRS
2013
2012
2011
2010
476
20140225/DA FORM 3595-R(M16)/36
4 YRS HS
HIGH SCHOOL DIPLOMA
1999
36
20040423 19990812 19991007
20161125 19990812
20121016 20151016
20060530
20100601 20130201
19810719 HI
US
MALE / BLACK
1 / 1 BAPT GEN CONF
MARRIED /US
71/178
0
V 201404/PASSED/217
20150427
WAHIAWA, HI
2507 MERIDAN ST S APT E101,
PUYALLUP, WA, 98373
20150427
213111
MRC3B PC RP TP
201412
2013
2012
2013
2012
2011
2010