Enclosure (1) to COMDTINST 1910.1
SAMPLE ENTRY FOR RESERVE OBLIGATION
AS A CONDITION OF RECEIVING SEPARATION PAY UNDER 10 U.S.C. 1174, I HEREBY
AGREE TO ENLIST OR EXTEND IN THE READY RESERVE FOR A PERIOD OF 3 YEARS
FOLLOWING MY DISCHARGE OR RELEASE FROM ACTIVE DUTY IN ADDITION TO
ANY REMAINING MILITARY SERVICE OBLIGATION. I UNDERSTAND THIS
AGREEMENT IS MADE WITHOUT REGARD TO THE REASON FOR MY SEPARATION OR
MY ELIGIBILITY FOR AFFILIATION WITH THE READY RESERVE. FURTHER, SHOULD
I BE ACCCEPTED FOR ENLISTMENT OR EXTENSION IN THE COAST GUARD RESERVE,
I MUST EXECUTE THE EXTENSION OR ENLISTMENT CONTRACT AS A CONDITION OF
QUALIFYING FOR SEPARATION PAY. I UNDERSTAND THAT IF I ENLIST IN THE
READY RESERVE I MAY REQUEST TO BECOME A MEMBER OF THE SELECTED
RESERVE BY APPLYING FOR AFFILIATION TO THE CHIEF, READINESS AND RESERVE
DIVISION OF THE DISTRICT IN WHICH I LIVE. I ALSO AGREE IF ACCEPTED THAT I
WILL KEEP THE DISTRICT COMMANDER (R) IN MY AREA INFORMED OF ANY
CHANGES IN MY ADDRESS, PHYSICAL STATUS, OR DEPENDENCY STATUS. I
UNDERSTAND THAT IF I STAY IN THE RESERVE AND LATER RETIRE, MY RETIRED
PAY WILL BE REDUCED BY THE AMOUNT OF ENLISTED SEPARATION PAYMENTS
RECEIVED.
____________________________
____________________________
JOHN B. BOATS
(DATE)
BM1, USCG
WITNESSED BY:
____________________________
WATER T. HATCH
YNC, USCG
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