Supporting Directive: RESPERS M-1001.

5, Article 1571-010
ANNUAL TRAINING WAIVER REQUEST
PRIVACY ACT STATEMENT: Authority to request this information is contained in 10 U.S.C. Chapter 1005. Purpose of the information is to process
Navy Reserve annual training waiver request. Information is used to evaluate individual requests, and transmit member notifications. Upon approval
the information will be entered into the Navy Standard Integrated Personnel System and Individual Inactive Duty Training folder. Completion of this form
is mandatory; failure to provide requested information may result in a failure to process request.

FROM: (Name – Last, First, Middle) SOCIAL SECURITY NO: GRADE/RATE:

Dukes, Sande, Maria 353848546 E6/ CTR1

NR C6F Information Warfare 83971
TO: Commanding Officer, (Navy Reserve Activity) ____________________________________________________________________________________

NOSC Atlanta
VIA: Commanding Officer, (Navy Reserve Unit and RUIC) _______________________________________________________________________________

FISCAL YEAR: NO. OF UNEXCUSED ABSENSES PREVIOUSLY APPROVED ANNUAL TRAINING WAIVER:
2021 PAST 12 MONTHS:
NO 2018 AT waiver due to Active Duty points earned
2
ANNUAL TRAINING

before disharge.
INFORMATION

✔ YES:
(YEARS AND REASONS)
DATES AND LOCATIONS OF ANNUAL TRAINING PERFORMED LAST THREE YEARS: DATE OF ASSIGNMENT WITH CURRENT UNIT:
6-17 AUG 2020 NR C6F Information Warfare Virtual AT
1. ____________________________________________________________________
11-28 JUN 2019 CYBERFLAG 19, Suffolk, VA
2. ____________________________________________________________________
2018 AT waived due to points earned on Active Duty
3. ____________________________________________________________________

DETAILED REASON FOR REQUEST:

Although sailor intends to attend AT with unit 12-23 July 2021 in Millington, Tennessee, sailor is not
sure if medical department will approve orders.
DATE: SIGNATURE:

5/20/2021
FIRST ENDORSEMENT
FROM: Commanding Officer, (Navy Reserve Unit and RUIC) ____________________________________________________________________________

TO: (Grade/Rank, Member’s Name) _________________________________________________

VIA: Commanding Officer, (Navy Reserve Activity) ____________________________________________________________________________________

1. Your request has been reviewed and forwarded recommending:

APPROVAL

DISAPPROVAL for the following reasons:

DATE: SIGNATURE

SECOND ENDORSEMENT

FROM: Commanding Officer, (Navy Reserve Activity) _________________________________________________________________________________

TO: (Grade/Rank, Member’s Name) _________________________________________________

VIA: Commanding Officer, (Navy Reserve Unit and RUIC) ________________________________________________________________________________

1. Returned:

APPROVED

DISAPPROVED for the following reasons:

DATE SIGNATURE

NAVRES 1571/15 (Rev. 8/14) PREVIOUS EDITIONS ARE OBSOLETE