1. CAUTION: NOT TO BE USED FOR
IDENTIFICATION PURPOSES
THIS IS AN IMPORTANT RECORD.
SAFEGUARD IT.
ANY ALTERATIONS IN SHADED AREAS
RENDER FORM VOID
CERTIFICATE OF RELEASE OR DISCHARGE FROM ACTIVE DUTY
This Report Contains Information Subject to the Privacy Act of 1974, As Amended.
1. NAME (Last, First, Middle)
1
2. DEPARTMENT, COMPONENT AND BRANCH
WHITE, ADAM KENT ARMY/RA
3. SOCIAL SECURITY NUMBER
XXX
I
XX
I
3051
4a. GRADE, RATE OR RANK
I
b. PAY GRADE
SSG E06
5. DATE OF BIRTH (YYYYMMDD)
1
6. RESERVE OBLIGATION TERMINATION DATE
19801010 (YYYYMMDD) 00000000
7a. PLACE OF ENTRY INTO ACTIVE DUTY
XXXXXXXXXXXXXXXXXXXXXXXXXX
b. HOME OF RECORD AT TIME OF ENTRY (City and state, or complete address if known)
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
Sa. LAST DUTY ASSIGNMENT AND MAJOR COMMAND b. STATION WHERE SEPARATED
030001ARHQS ARMORED FC FORT HOOD TC, TX 76544-5056
9. COMMAND TO WHICH TRANSFERRED 10. SGLI COVERAGEL_j NONE
N/A AMOUNT: $ 400,000.00
11. PRIMARY SPECIALTY (List number, title and years and months in 12. RECORD OF SERVICE YEAR(S) MONTH(S) DAY(S)
specialty. List additional specialty numbers and titles involving periods of a.DATE ENTERED AD THIS PERIOD 1999 05 11
one or more years.) b.SEPARATION DATE THIS PERIOD 2014 06 14
19D38 CAVALRY SCOUT - 14 YRS 8 MOS//NOTHING c.NET ACTIVE SERVICE THIS PERIOD 0015 01 04
FOLLOWS 0000 00 00d.TOTAL PRIOR ACTIVE SERVICE
e.TOTAL PRIOR INACTIVE SERVICE 0000 00 00
f. FOREIGN SERVICE 0006 09 25
g.SEA SERVICE 0000 00 00
h.INITIAL ENTRY TRAINING 0000 04 21
i. EFFECTIVE DATE OF PAY GRADE :e:UU/ u() uJ_
13. DECORATIONS, MEDALS, BADGES, CITATIONS AND CAMPAIGN 14. MILITARY EDUCATION (Course title, number of weeks, and month and
RIBBONS AWARDED OR AUTHORIZED (All periods of service) year completed)
IRAQ CAMPAIGN MEDAL W/ THREE CAMPAIGN STARS ADV LDR CRS (ALC), 6 WEEKS, 2008//CAV SCH
//ARMY COMMENDATION MEDAL (3RD AWARD)//ARMY CRS, 11 WEEKS, 1999//COMBAT LIFE SAVERS CRS,
ACHIEVEMENT MEDAL (2ND AWARD)//USA/USAF 1 WEEK, 2002//COMBATIVES LEVEL 1, 1 WEEK,
PRESIDENTIAL UNIT CITATION//ARMY GOOD 2008//COUNTER IMPROVISED EXPLOSIVE DEVICE
CONDUCT MEDAL (4TH AWARD)//NATIONAL DEFENSE TRNG INSTRUCTOR CRS, 1 WEEK, 2011//WARRIOR
SERVICE MEDAL//GLOBAL WAR ON TERRORISM LEADER CRS, 4 WEEKS, 2002//NOTHING FOLLOWS
EXPEDITIONARY MEDAL//CONT IN BLOCK 18
15a.COMMISSIONED THROUGH SERVICE ACADEMY YES X NO
b.COMMISSIONED THROUGH ROTC SCHOLARSHIP (10 USC Sec. 2107b) YES X NO
c. ENLISTED UNDER LOAN REPAYMENT PROGRAM (10 USC Chap. 109) (If Yes, years of commitment: NA ) YES X NO
16. DAYS ACCRUED LEAVE
1
17. MEMBER WAS PROVIDED COMPLETE DENTAL EXAMINATION AND ALL APPROPRIATE YES NO
PAID 6.5 DENTAL SERVICES AND TREATMENT WITHIN 90 DAYS PRIOR TO SEPARATION X
18. REMARKS IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII
IMMEDIATE REENLISTMENTS THIS PERIOD -- 20010814-20040815, 20040816-20061203,
20061204-20100511, 20100512-20100831, 20100901-20140614//BLOCK 6, PERIOD OF DELAYED ENTRY
PROGRAM: 19990326-19990510//SERVED IN A DESIGNATED IMMINENT DANGER PAY AREA//SERVICE IN
IRAQ 20030125-20030828//SERVICE IN IRAQ 20060813-20071111//SERVICE IN IRAQ
20110131-20111108//SERVICE IN KOSOVO 20010514-20011115//DISABILITY SEVERANCE PAY --
$107739.00//MEMBER HAS COMPLETED FIRST FULL TERM OF SERVICE//CONT FROM BLOCK 13: II
/GLOBAL WAR ON TERRORISM SERVICE MEDAL//KOREAN DEFENSE//SEE ATTACHED CONTINUATION SHEET
The information contained herein is subject to computer matching within the Department of Defense or with any other affected Federal or non-Federal agency for verification
purposes and to determine eligibility for, and/or continued compliance with, the requirements of a Federal benefit program.
19a. MAILING ADDRESS AFTER SEPARATION (Include ZIP Code)
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
b. NEAREST RELATIVE (Name and address - include ZIP Code)
XXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXX
20. MEMBER REQUESTS COPY 6 BE SENT TO (Specify state/locality) TX OFFICE OF VETERANS AFFAIRS X YES NO
a. MEMBER REQUESTS COPY 3 BE SENT TO THE CENTRAL OFFICE OF THE DEPARTMENT OF VETERANS AFFAIRS
X YES NO(WASHINGTON, DC)
21.a. MEMBER SIGNATURE b.DATE 22.a. OFFICIAL AUTHORIZED TO SIGN (Typed name, grade, title, signature) b.DATE
ESIGNED BY: (YYYYMMDD) ESIGNED BY: JEFFERSON.BRUCE.1011557933 (YYYYMMDD)
WHITE.ADAM.KENT.11452863 20140425 BRUCE JEFFERSON,
32
GS07, LEAD HR ASST TRANS CE 20140425
SPECIAL ADDITIONAL INFORMATION (For use by authorized agencies only)
23. TYPE OF SEPARATION 24. CHARACTER OF SERVICE (Include upgrades)
DISCHARGE HONORABLE
25. SEPARATION AUTHORITY 26. SEPARATION CODE
1
r·REENTRY CODE
AR 635-40, CHAP 4 JEE
28. NARRATIVE REASON FOR SEPARATION
DISABILITY, SEVERANCE PAY, NON-COMBAT (ENHANCED)
29. DATES OF TIME LOST DURING THIS PERIOD (YYYYMMDD)
NONE
DD FORM 214, AUG 2009 PREVIOUS EDITION IS OBSOLETE.
GENERATED BY TRANSPROC
1
30. MEMBER REQUESTS COPY 4
(Initials) AKW
SERVICE - 2

2. CAUTION: NOT TO BE USED FOR
IDENTIFICATION PURPOSES
THIS IS AN IMPORTANT RECORD.
SAFEGUARD IT.
ANY ALTERATIONS IN SHADED AREAS
RENDER FORM VOID
CERTIFICATE OF RELEASE OR DISCHARGE FROM ACTIVE DUTY (Continuation Sheet)
This Report Contains Information Subject to the Privacy Act of 1974, As Amended.
1. NAME (Last, First, Middle)
WHITE, ADAM KENT
1 2. DEPARTMENT, COMPONENT AND BRANCH
ARMY/RA
1 3. SOCIAL SECURITY NUMBER
XXX I XX I 3051
(Specify the item number of the block continued for each entry.) I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I
CONT FROM BLOCK 18: SERVICE MEDAL//NON COMMISSIONED OFFICER PROFESSIONAL DEVELOPMENT
RIBBON (2ND AWARD)//ARMY SERVICE RIBBON//OVERSEAS SERVICE RIBBON (4TH AWARD)//COMBAT
ACTION BADGE//DRIVER AND MECH BADGE W/ DRIVER - TRACKED VEHICLE(S) CLASP//NOTHING FOLLOWS
21.a. MEMBER SIGNATURE b. DATE 22.a. OFFICIAL AUTHORIZED TO SIGN (Typed name,9rade, title, signature) b. DATE
ESIGNED BY: (YYYYMMDD) ESIGNED BY: JEFFERSON.BRUCE.1011557933 (YYYYMMDD)
WHITE.ADAM.KENT.11452863 20140425 2014042532 BRUCE JEFFERSON, GS07, LEAD HR ASST TRANS CE
DD FORM 214C, AUG 2009 GENERATED BY TRANSPROC SERVICE - 2