VOLUNTARY SERVICE AGEEMENT (VSA) FOR CONTINUING ON MOBILIZATION OR IA ORDERS IN CENTCOM AOR – AFGHANISTAN (revised 11 AUG 2013)

MEMBER’S FULL NAME (Last, First, MI):

Rank/Rate: Current NE- - End of Enlistment Date (RC Only):

Type of Orders: IAMM OSA GSA RESERVE MOBILIZATION --------------------------------------------------------------------------------------------------------------------------------------- SECTION A – COMPLETE ONLY IF REQUESTING BILLET TRANSFER (Also complete Section B if requesting extension)

Request transfer to Requirement Tracking Number (RTN): NE - UIC: New RTN is in same geographic area? Yes No Willing to accept any RTN requirement: By checking this block, service member understands he or she is agreeing to accept world-wide reassignment. Redeploy/detachment date will meet new RTN requirement.

Effective/transfer date (current billet): --------------------------------------------------------------------------------------------------------------------------------------- SECTION B – COMPLETE ONLY IF REQUESTING EXTENSION

I request to extend in RTN: NE – for months. If extending for less than 12 months, the desired redeployment/detachment date: --------------------------------------------------------------------------------------------------------------------------------------- SECTION C – ORDER ELIGIBILITY VERIFICATION

I have more than 16 years of Active Duty Service (RC Only) Yes No I will have >5 years of continuous Active Duty at the end of my current order (RC only) Yes No Under current orders, I am receiving TDY (Per-Diem) entitlements. Yes No

- Under new orders I would receive IE Per-Diem (e.g. $3.50/day). Yes No - Under new orders I would receive TDY entitlements for greater than 365 days. Yes No Receipt of TDY entitlement for greater than 365 days requires justification in below comments block *AC waiver request requires ASN approval / RC waiver request requires USFF N1 approval*

--------------------------------------------------------------------------------------------------------------------------------------- By signing this form I request and freely consent to an order modification extending my current billet or to transferring me to a new billet, as indicated above. If approved, the Navy will issue me an order modification (ORDMOD) that will continue MOB/IA orders in support of Overseas Contingency Operations. I understand that once the ORDMOD is generated, I may no longer revoke this consent. I will be obligated to serve the full modified order period requested above, unless released sooner. I further understand that I will be serving based on the needs of the Navy, and I may be released by proper military authority at any time. Note: NAVCENT Extension guidance limits total Boots on Ground (BOG) in CENTCOM AOR to a maximum of 24 months. Extensions will not be authorized for Sailors assigned to Detainee Operations, Counter-Improvised Explosive Device, Expeditionary Signal Intelligence units, or other high tempo billets.

Member Signature/Date Member DSN phone/e-mail --------------------------------------------------------------------------------------------------------------------------------------- Current Theater CMD Endorsement Yes No Sign/Date Parent Command Endorsement (AC IAMM only) Yes No Sign/Date Detailer Endorsement (GSA/OSA only) Yes No Sign/Date

NAVCENT FWD HQ Per Diem Verify/endorsement Yes No Sign/Date

NAVCENT/CTF-IA Desk Officer approval Yes No Sign/Date

Comments/Justification: