This form is designed to assist raters in providing supporting information for promotion or denial of promotion after face to face interview and counseling. This form also provides information with regard to each rater in the rating chain. Complete only the blocks that are according to your level of the rating chain as follows:. Each rater would complete the information in this section according to information provided by the evaluated officer during a face-to-face interview.

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This form is for official use only. An officer will also be considered for the possibility of promotion if eligible. This section will collect personal information with regard to the officer under evaluation. Fill in the following:.
This section will provide personal information regarding each rater according to their respective level. Each rater will fill in the following blocks:. Fill in the blocks in Part lll as follows:. In section lV a. Search for:. No Ratings Yet. Fill in the following: a. Name Last, First, MI format b. Social Security Number c. Rank d. Branch f. Unit, Org. Status Code h.
Reason For Submission i. Rated Months k. Non-Rated Codes m. Number of Encl. UIC o. CMD Code p. Each rater will fill in the following blocks: a. Fill in the blocks in Part lll as follows: a. Principal Duty Title b. Character — Disposition of the leader, combination of values, attributes and skills affecting leader actions Part lV — Section a.
Part lV — Section b. Choose a total of six that will best describe the rated officer. Part lV- — Section c. And Part Vb. For Army Competitive Category Cpt.
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