DA Form 1695. Oath of Extension of Enlistment

The DA Form 1695, Oath of Extension of Enlistment, is used by members of the Regular Army to voluntarily extend their enlistment period. This form documents the agreement between the soldier and the Army, recording the terms of the extension and acknowledging the soldier's voluntary decision.

Key Sections and Fields:

Section I - Extension Control Number:

• Extension Control Number: A unique identifier for the extension.

Section II - Applicant Data:

1. Name (Last, First, MI): The soldier's full name.
2. Rank: The soldier's military rank.
3. DoD ID: The soldier's Department of Defense Identification Number.
4. Date (YYYYMMDD): The date of the extension request.
5. Place of Extension (Unit, Installation, State, ZIP Code): Location details of the extension request.

Section III - Agreement:

• I, a member of the Regular Army, do hereby acknowledge to have voluntarily extended my enlistment of the day of, year, months, weeks from the last mentioned date.
• The period of this extension is: Duration of the extension.
• My request for extension is under the provision of paragraph: Specify the appropriate paragraph of the regulation.
• I have been counseled on potential eligibility for a Selective Retention Bonus. Any questions I had were explained to my satisfaction.

Section IV - Administering Officer: 6. Date Acknowledged (YYYYMMDD): Date when the extension was acknowledged.

7. Rank: Rank of the administering officer.
8. Remarks: Any additional comments or remarks.

Section V - Responsible Career Counselor: 9. Name (PMOS 79S/79T/79V): Name and Military Occupational Specialty (PMOS) of the responsible career counselor.

10. Signature: Signature of the responsible career counselor.

Section VI - Data Required by the Privacy Act of 1974:

• Provides information regarding the authority, purpose, routine uses, and disclosure of the form under the Privacy Act of 1974.

Back Side:

This section is used to record additional information related to the extension, such as the soldier's unit, installation, state, and ZIP code.

Note: The form includes a prescribed date (DA FORM 1695, JUN 2021), indicating the date of the form's last revision and reference to AR 601-280, the governing regulation for retention programs. The previous editions of this form are declared obsolete.

The DA Form 1695 serves as a formal record of a soldier's decision to extend their enlistment in the Regular Army, documenting the terms and conditions of the extension and ensuring that the soldier is fully informed of their rights and benefits. It becomes part of the soldier's military personnel records for personnel management purposes.