Form Information
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FORM NUMBER:
DD1172-2

TITLE:
APPLICATION FOR DEPARTMENT OF DEFENSE COMMON ACCESS

CARD--DEERS ENROLLMENT

EDITION DATE:
20140101

CANCELLATION DATE:

FORMATS:
PLEASE BE ADVISED:

PDF-Ext
No link under "FORMATS:" indicates no electronic format is available.

To obtain copies of forms, contact YOUR Military Service or Component

Forms Manager click here.

Cancelled forms are not available.

REMARKS:
Instructions can be found at: http://www.cac.mil/assets/pdfs/DD_1172-

2_Instructions.pdf

ISSUANCES:
DoDI 1000.13 DoDM 1000.13 Volume 1

DoDM 1000.13 Volume 2

SPONSOR / POC:
P&R

SUB-SPONSOR:
0USD(PI)/DHRA-HQ

NUMBER OF PAGES:
2

USERS*:
A N AF MC CG NOAA PHS

PRESCRIBED OR ADOPTED?:
P

DISPOSITION:
O

SUBJECT GROUP:
1000

FORM CONTROLLED:
N

MANDATORY PRINT SPECIFICATIONS:
N

RCS:

IRCN:

OMB:
0704-0415

PRIVACY ACT IMPLICATIONS:
Y
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* All revisions and/or cancellations must be coordinated through these USERS.

DISPOSITION: O = Do NOT use previous edition. U = Use previous edition until supply is depleted.