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NGB FORM 600-7-6-R-E Previous Editions OBSOLETE Revised 10 ...

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ANNEX X TO DD <strong>FORM</strong> 4<br />

PRIOR SERVICE ENLISTMENT BONUS ADDENDUM<br />

ARMY NATIONAL GUARD of the UNITED STATES<br />

For use of this form see NGR <strong>600</strong>-7. The proponent agency is <strong>NGB</strong>-ARM-EI<br />

-----DATA REQUIRED BY THE PRIVACY ACT OF 1974-----<br />

AUTHORITY:<br />

Section 5<strong>10</strong> and 511, Title <strong>10</strong> USC and Section 301 and 304, Title 32 USC and<br />

Executive Order 9397<br />

PRINCIPLE PURPOSE: Used to explain and confirm obligation and to ensure that agreement to these<br />

conditions is a matter of record. Occasionally as a basis for non-participation<br />

action if requirements are not met. This form will be placed in the member’s<br />

personnel record.<br />

ROUTINE USES:<br />

DISCLOSURE:<br />

None.<br />

Voluntary; Disclosure of your SSN is voluntary; however, if not provided you will<br />

not be enlisted/reenlisted.<br />

----------------------------------------------------SECTION I - GENERAL-------------------------------------------------------<br />

The enlisting official will explain these SRIP requirements. One copy will be attached to the DD Form 4<br />

and listed as Annex X and a copy will be given to the Soldier.<br />

---------------------------------------------------SECTION II - ELIGIBILITY---------------------------------------------<br />

Upon my enlistment in the Army National Guard of the United States, I am eligible for a Prior Service<br />

Enlistment Bonus under the Selected Reserve Incentive Program (SRIP) if I meet the following criteria<br />

(Initial as appropriate):<br />

1. I have completed not more than 16 years of total military service. _____ (Initial)<br />

2. I am:<br />

a) Qualified in and hold as primary the MOS for which I am enlisting, and hold the rank and grade of, or<br />

am no more than one grade below, the required grade of the position _____. (Initial);<br />

or<br />

b) Not qualified in the primary MOS for which I am enlisting, but have enlisted into an MTOE unit in<br />

critical skill _______and agree to attend formal training and become qualified in my contracted MOS within<br />

24 months of my date of enlistment. I understand that my initial bonus payment will not be processed until<br />

I become Duty MOS qualfied _____ (Initial)<br />

3. I meet all enlistment eligibility criteria set forth in NGR <strong>600</strong>-200._____ (Initial)<br />

4. I am not enlisting into an excess position. _____ (Initial)<br />

5. I am not enlisting into a TDA unit. _______(initial)<br />

6. I am not enlisting for a Title <strong>10</strong> or Title 32 AGR tour or Military technician position. ______ (Initial)<br />

7. I have received an honorable discharge for all periods of prior military service. _______ (Initial)<br />

<strong>NGB</strong> <strong>FORM</strong> <strong>600</strong>-7-6-R-E <strong>Previous</strong> <strong>Editions</strong> <strong>OBSOLETE</strong><br />

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8. I have read Section II and understand the contents thereof. ______(Initial)<br />

9. I must be enlisting DMOSQ in a Critical UIC or DMOSQ or Non DMOSQ in a approved critical skill<br />

under the policy in effect at the time of my enlistment in an MTOE unit. ________(Initial)<br />

----------------------------------------SECTION III - BONUS AMOUNT and PAYMENTS--------------------------------<br />

Incentive amount and payments will be as follows (Initial as appropriate item 1 or 2). (This is based on the<br />

<strong>NGB</strong> policy memorandum in effect at the time of enlistment):<br />

1. I will receive a total bonus in the amount as indicated below.<br />

a. 6 Year PSEB in a Critical UIC and or Critical Skill: I will receive a total bonus payment in the<br />

amount of $15,000 less taxes for a 6-year enlistment in the <strong>NGB</strong> approved critical UIC/skill of<br />

__________________. I certify that I am enlisting in a valid, vacant position (up to 125% strength) and<br />

am MOS qualified for the position as of the date of this enlistment. My bonus will be paid in two 50%<br />

installments. The initial installment of 50% ($7,500) will be processed for payment upon enlistment. The<br />

second and final installment of 50% ($7,500) will be processed for payment on the third-year anniversary<br />

of enlistment. ______ (Soldier initials if applicable)<br />

b. 6-Year PSEB in a Non Critical MTO&E Unit: I will receive a total bonus payment in the amount of<br />

$15,000 less taxes for a 6-year enlistment in a non-critical MTOE unit. I certify that I am enlisting in a valid,<br />

vacant position (up to 125% strength) and am:<br />

MOS qualified for the position as of the date of this enlistment________(Soldier initials if applicable).<br />

Not MOS qualified for the position as of the date of this enlistment and must become MOS qualified<br />

within 24 months.________ (Soldier initials if applicable)<br />

My bonus will be paid in two 50% installments. The initial installment of 50% ($7,500) will be processed for<br />

payment upon enlistment (If not MOS qualified, my initial payment will not be processed until I become<br />

MOS qualified). The second and final installment of 50% ($7,500) will be processed for payment on the<br />

third-year anniversary of enlistment. ______ (Soldier initials if applicable)<br />

3. First 3-Year PSEB in a Critical UIC and or Critical Skill: I will receive a total bonus payment in the<br />

amount of $7,500 less taxes for a 3-year enlistment in the <strong>NGB</strong> approved critical UIC/skill of<br />

__________________. I certify that this is my first 3-year enlistment in the Selected Reserve for which I<br />

accepted a cash bonus. I am enlisting in a valid, vacant position (up to 125% strength) and am MOS<br />

qualified for the position as of the date of this enlistment. My bonus will be paid in two 50% installments.<br />

The initial installment of 50% ($7,500) will be processed for payment upon enlistment. The second and<br />

final installment of 50% ($7,500) will be processed for payment on the third-year anniversary of enlistment.<br />

______ (Soldier initials if applicable)<br />

4. Second (or subsequent) 3-Year PSEB in a Critical UIC and or Critical Skill: I will receive a total<br />

bonus payment in the amount of $6,000 less taxes for 3-year enlistment in the <strong>NGB</strong> approved critical<br />

UIC/skill of __________________. I am enlisting in a valid, vacant position (up to 125% strength) and am<br />

MOS qualified for the position as of the date of this enlistment. My bonus will be paid in two 50%<br />

installments. The initial installment of 50% ($3000) will be processed for payment upon enlistment. The<br />

second and final installment of 50% ($3000) will be processed for payment on the third-year anniversary of<br />

enlistment. ______ (Soldier initials if applicable)<br />

2. I have read Section III and understand the contents thereof. ______ (Initial)<br />

--------------------------------------------------SECTION IV- SUSPENSION---------------------------------------------------<br />

I understand I will be suspended from bonus eligibility if I:<br />

<strong>NGB</strong> <strong>FORM</strong> <strong>600</strong>-7-6-R-E <strong>Previous</strong> <strong>Editions</strong> <strong>OBSOLETE</strong><br />

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1. Enter a period of non-availability (placement in the Inactive National Guard [ING]). Maximum periods<br />

of non-availability are:<br />

a. One year for personal reasons.<br />

b. Three years for missionary obligations.<br />

2. Am flagged (suspension of favorable personnel action per AR <strong>600</strong>-8-2) for an adverse action other<br />

than failure to maintain body composition standards or Army Physical Fitness Test (APFT) failure.<br />

Note: Reinstatement of bonus eligibility is not guaranteed. If I regain bonus eligibility, my payments will be<br />

processed effective on the date the suspension is lifted or on the adjusted anniversary date of satisfactory<br />

creditable service.<br />

3. I have read Section IV and understand the contents thereof. ______ (Initial)<br />

------------------------------------SECTION V – TERMINATION WITHOUT RECOUPMENT--------------------------<br />

I understand that I will be terminated from bonus eligibility without recoupment, if I:<br />

1. Accept a Military Technician position and on the effective date of my orders have served at least 6<br />

months of the incentive contract term.<br />

2. Accept a Title <strong>10</strong> or Title 32 AGR tour and on the effective date of my orders have served at least 6<br />

months of the incentive contract term.<br />

3. Become a participant in the SMP/ROTC advanced course or receive an ROTC scholarship and have<br />

served more than one year of this Selected Reserve enlisted incentive contract term.<br />

4. Accept a commission as an officer or appointment as a warrant officer after serving more than one<br />

year of this Selected Reserve enlisted incentive contract term.<br />

5. Do not become qualified in or awarded as primary the MOS required for my position within 24 months<br />

of enlistment if retraining is required.<br />

6. I have read Section V and understand the contents thereof. ______ (Initial)<br />

------------------------------------SECTION VI – TERMINATION WITH RECOUPMENT--------------------------------<br />

I understand I will be terminated from bonus eligibility with recoupment, if I:<br />

1. Become an unsatisfactory participant by—<br />

a. Accumulating 9 unexcused absences within a 12-month period. Recoupment will be calculated from<br />

the date of the 9th unexcused absence; or—<br />

b. Failing to attend or complete Annual Training (AT) without Commander’s approval. Recoupment will<br />

be calculated from the first day of annual training.<br />

2. Fail to extend my enlistment for time served in the ING within 30 days after returning to my unit.<br />

Recoupment will be calculated from the effective date of transfer to the ING.<br />

3. Exceed maximum time in the ING. Recoupment will be calculated from the date of transfer into the<br />

ING.<br />

4. Accept a Military Technician position and on the effective date of my orders have not served at least 6<br />

months of the incentive contract term.<br />

<strong>NGB</strong> <strong>FORM</strong> <strong>600</strong>-7-6-R-E <strong>Previous</strong> <strong>Editions</strong> <strong>OBSOLETE</strong><br />

<strong>Revised</strong> <strong>10</strong> AUG 2007 Page 3 of 4


5. Accept a Title <strong>10</strong> or Title 32 AGR tour and on the effective date of my orders have not served at least 6<br />

months of the incentive contract term.<br />

6. Become a participant in the SMP/ROTC advanced course or receive an ROTC scholarship and have<br />

not served more than one year of this Selected Reserve enlisted incentive contract term.<br />

7. Do not become qualified in or awarded as primary the MOS required for my position within 36 months<br />

of transfer due to unit inactivation, reorganization, or relocation. Recoupment will be calculated from the<br />

date of transfer.<br />

8. Accept a commission as an officer or an appointment as a warrant officer and have not served more<br />

than one year of this Selected Reserve enlisted incentive contract term.<br />

9. Separate from the ARNG for any reason unless due to death, injury, illness, or other impairment not<br />

the result of own misconduct.<br />

Recoupment is calculated as follows. The amount of monies that I am entitled to from the incentive is<br />

calculated by multiplying the number of months served satisfactorily during the term for which the<br />

incentive was authorized by the proportionate monthly dollar amount. The proportionate monthly dollar<br />

amount is determined by dividing the total authorized bonus amount by the total amount of months in the<br />

original contractual obligation. The amount of the bonus that I am entitled to keep, as calculated above,<br />

will be subtracted from the total bonus paid to date. If calculations indicate an overpayment, that amount<br />

will be recouped. If calculations indicate that I have earned more than I have received, I will be paid the<br />

difference less taxes in a final installment.<br />

<strong>10</strong>. I have read Section VI and understand the contents thereof. ______ (Initial)<br />

-----------------------------------SECTION VII - STATEMENT OF UNDERSTANDING----------------------------------<br />

I have read this addendum in its entirety. I understand all of the above statements concerning my<br />

enlistment bonus. I understand that this addendum will be void if I do not meet all of the requirements. No<br />

other promises have been made to me in connection with this enlistment bonus addendum _________.<br />

(Initial)<br />

----------------------------------------------SECTION VIII - AUTHENTICATION---------------------------------------------<br />

____________________________________<br />

Signature of Authorizing Representative<br />

_____________________________________________<br />

Unit and address<br />

Date Signed<br />

____________________________________<br />

Signature of Soldier<br />

_____________________________________________<br />

Typed Name and SSN of Soldier<br />

-------------------------SECTION IX - CERTIFICATION BY SERVICE REPRESENTATIVE-------------------------<br />

<strong>NGB</strong> <strong>FORM</strong> <strong>600</strong>-7-6-R-E <strong>Previous</strong> <strong>Editions</strong> <strong>OBSOLETE</strong><br />

<strong>Revised</strong> <strong>10</strong> AUG 2007 Page 4 of 4


I certify that I have witnessed the reading and signing of the above agreement and the signature<br />

appearing above is that of the applicant.<br />

_____________________________________<br />

Signature of Enlisting Official<br />

_____________________________________________<br />

Typed Name/Rank of Enlisting Official<br />

_____________________________________<br />

Date Signed<br />

BONUS CONTROL NUMBER_________________<br />

(Mandatory Requirement)<br />

<strong>NGB</strong> <strong>FORM</strong> <strong>600</strong>-7-6-R-E <strong>Previous</strong> <strong>Editions</strong> <strong>OBSOLETE</strong><br />

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