Get Da Form 2374 R Notification Of Foreign Visit

REMARKS Use Reverse side as necessary DA FORM 2374-R MAR 88 EDITION OF 1 SEP 78 IS OBSOLETE USAPPC V1. U.S. DOD Form dod-da-2374-r NOTIFICATION OF FOREIGN VISIT DATE For use of this form see DA PAM 381-15 the proponent agency is DCSINT DATA REQUIRED BY THE PRIVACY ACT AUTHORITY National Security Act of 1947 Executive Order 12333. PRINCIPAL PURPOSE Reporting of contacts between US and foreign personnel ROUTINE USES Information is used to support contingency planning and military operations. Information may be disclosed to US or foreign personnel including law enforcement security investigatory or administrative authorities. This is to comply with requirements imposed by international agreements and arrangements or to claim rights conferred therein* These rights and requirements include those regulating the stationing and status of DOD personnel in foreign countries where there is a routine reciprocal exchange of information* DISCLOSURE Disclosure is voluntary however failure to provide the requested information could result in denial of authorization to travel* TO Include Zip Code FROM Include Zip Code ACTION OFFICER PHONE NO. 1. LAST NAME - FIRST NAME - MIDDLE NAME 2. GRADE 3. DATE OF BIRTH 4. U*S* CITIZEN YES 5. SOCIAL SECURITY NO. 6. PLACE OF BIRTH City State Country 7. PERMANENT ADDRESS Number Street City State and Zip Code 8. PLACE NATURALIZED NO 10. ASSIGNMENT Command Unit Address and phone no 9. DATE NATURALIZED 11. POSITION TITLE 12. ARMY SECURITY CLEARANCE 13. SCIENTIFIC AND TECHNICAL FIELDS IF INTEREST 14. FOREIGN LANGUAGES List if Read Write or Speak DETAILS OF VISIT Use continuation sheet as necessary 15. PURPOSE OF VISIT. Include estimated date of departure and return and mode of travel if appropriate ITINERARY Use continuation sheet as necessary CITY AND COUNTRY CONFERENCE INSTITUTION FIRMS PLANTS AGENCIES NAME AND POSITION OF FOREIGN PERSON TO BE CONTACTED 17. PRINCIPAL PURPOSE Reporting of contacts between US and foreign personnel ROUTINE USES Information is used to support contingency planning and military operations. Information may be disclosed to US or foreign personnel including law enforcement security investigatory or administrative authorities. Information may be disclosed to US or foreign personnel including law enforcement security investigatory or administrative authorities. This is to comply with requirements imposed by international agreements and arrangements or to claim rights conferred therein* These rights and requirements include those regulating the stationing and status of DOD personnel in foreign countries where there is a routine reciprocal exchange of information* DISCLOSURE Disclosure is voluntary however failure to provide the requested information could result in denial of authorization to travel* TO Include Zip Code FROM Include Zip Code ACTION OFFICER PHONE NO. This is to comply with requirements imposed by international agreements and arrangements or to claim rights conferred therein* These rights and requirements include those regulating the stationing and status of DOD personnel in foreign countries where there is a routine reciprocal exchange of information* DISCLOSURE Disclosure is voluntary however failure to provide the requested information could result in denial of authorization to travel* TO Include Zip Code FROM Include Zip Code ACTION OFFICER PHONE NO. 1. LAST NAME - FIRST NAME - MIDDLE NAME 2. GRADE 3. DATE OF BIRTH 4. U*S* CITIZEN YES 5. SOCIAL SECURITY NO.