MEMBER TRANSFER REQUEST - CGAUX-4
A.
GENERAL - This form is for members in good standing who request transfer to
another flotilla, either within or outside the current district.
B.
CHECK APPROPRIATE BOX - Check the box which applies to this transfer
request.
C.
CURRENT MEMBER NUMBER - Enter your current 10 digit Auxiliary member number.
D.
NAME - Enter your last name, first name and middle initial as they
appear on your Flotilla Roster.
E.
FLOTILLA - Enter the 4 digit number of the Flotilla to which you wish
to transfer.
F.
DISTRICT - Enter the 3 element number of the District to which you wish
to transfer.
G.
DATE - Enter the effective date of the requested transfer.
H.
MEMBER'S SIGNATURE - Member's signature as normally written.
I.
DATE - Enter date signed.
1.
ATTACH: Change of Member Information (CGAUX-33).
Auxiliary Membership Identification Card (CG-2650).
2.
FORWARD: Completed form and all attachments to your present
Flotilla Commander
J.
FLOTILLA COMMANDER - check appropriate box, sign and date.
Forward
with attachments to DIRAUX.
K.
DIRAUX - Check appropriate box, sign and date.
1. Within District - Assign new member number, notify member and both
Flotilla Commanders.
2. Outside District - Remove member from District List, send personnel
jacket to new DIRAUX.
3. Transfer effective when approved and member is accepted by the
new DIRAUX.
PRIVACY ACT STATEMENT
In accordance with 5 USC 552a(e)(3), the following information is provided
to you when supplying personal information to the United States Coast
Guard.
1.
AUTHORITY which authorized the solicitation of the information:
14 USC Sec 823.
2.
PRINCIPAL PURPOSE(S) FOR WHICH INFORMATION IS INTENDED TO BE USED:
To establish eligibility for enrollment and a record for the individual
in the Auxiliary Information management System.
3.
THE ROUTINE USES which may be made of the information: Provide
identification, address and personal information to the following:
(1) Directors of Auxiliary. (2) Members of the Auxiliary.
4.
WHETHER OR NOT DISCLOSURE of such information is mandatory or voluntary
(required by law or optional) and the effects on the individual, if any,
of not providing all or any part of the requested information:
Disclosure of this information is voluntary, but failure to provide
information will prevent enrollment of the person in the Auxiliary.
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