Encl. (1) to COMDTINST 5512.10
BLOCK 30. CARD EX/ELIG END DATE (YYYYMMMDD) (CARD EXPIRATION//
ELIGIBILITY END DATE//GUARD/RESERVE END DATE). Enter the effective end date of
the sponsor's current service commitment in 4-digit year, 3-character month, and 2-digit day format
(YYYYMMYDD). For those with indefinite commitment, enter "INDEF." (Use no more than 9
characters.)
BLOCK 31. PRIVILEGES AUTHORIZED. Leave blank.
BLOCK 32. END ELIG REASON. Leave blank.
SECTION II - DEPENDENT INFORMATION
BLOCK 33. NAME. Enter the dependent's name in the same manner as prescribed in Block 1.
NOTE: A spouse may be issued an ID card in the legal name by which the spouse is known, such
as a maiden name.
BLOCK 34. SEX. Enter the sex of the dependent as prescribed in Block 2
BLOCK 35. RELATIONSHIP. Select the correct abbreviation to show the dependent's
relationship to the sponsor from the valid abbreviations listed in the left column below.
SP
-
Spouse
CH
-
Child
SC
-
Stepchild
WARD
-
Ward
NOTE: Dependent categories that require dependency determinations will not be entered at this
time. Upon mobilization of a Guard or Reserve sponsor, a dependency determination
must be made by the sponsor's parent Uniformed Service to establish eligibility based on
the level of support the sponsor is providing at the time.
BLOCK 36. SSN (SOCIAL SECURITY NUMBER). Enter the dependent's SSN. In cases
where the dependent does not have a SSN, this block may be left blank. (Use 9 characters.)
BLOCK 37. ID NO (IDENTIFICATION CARD NUMBER). If an ID card is being issued,
enter the serial number of the DD Form 1173-1 issued to the dependent in this block. If the action
being performed is a terminate, this block need not be updated except to identify a card that may be
in the possession of an individual no longer entitled to the card. Such card should be retrieved for
destruction. (Use no more than 9 characters.)
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