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da form 3626, 1 jun 78 vehicle registration/driver record

da form 3626, 1 jun 78 vehicle registration/driver record

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14. INSTRUCTIONS TO REGISTRANT<br />

In<strong>form</strong>ation on the reverse of this <strong>form</strong> should be up<strong>da</strong>ted as significant changes occur. The operation of a POV on a military<br />

installation is a privilege extended by the Installation Commander subject to compliance with appropriate State laws pertaining<br />

to financial responsibility, safety inspections and <strong>registration</strong>; to conditions established in paragraph 2-1, AR 190-5 and<br />

AR 190-5-1; and other appropriate regulations. Failure to comply with such laws and regulations may result in an administrative<br />

suspension or revocation of driving privileges or termination of installation <strong>registration</strong>. The registrant must remove the<br />

<strong>registration</strong> decal from the registered <strong>vehicle</strong> upon PCS, termination of employment, or sale of POV.<br />

REPORT NO./<br />

DATE<br />

(Date) (Registrant's signature)<br />

15. RECORD OF ACCIDENTS/MOVING TRAFFIC VIOLATIONS<br />

INSTL VEHICLE<br />

TYPE ACCIDENT/VIOLATION<br />

ON OFF GOVT POV<br />

DISPOSITION<br />

16. REMARKS (Include in<strong>form</strong>ation concerning suspension, revocation of driving privileges, <strong>driver</strong> improvement measures and participation in<br />

POINTS ASSESSED<br />

CHARG-<br />

ED<br />

APD V1.01<br />

CUMULA-<br />

TIVE

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