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requestforexaminationPRIVACYACTSTATEMENT:AUTHORITY:Sections,,,andofTitleUSFileunderRNa(seeRecordkeepingRequirements) REQUESTFOREXAMINATION.AHelpfulTipsforFillingoutUSMEPCOMA-E.SERVICEPROCESSINGFOR–AF.PRIORSERVICE–Self ExplanatoryThesecompletionprocedurescanbefoundonA-EInstructionsSPEARandonthepublicsiteatforuseofthisform,seeusmepcomregforofficial useonlyROUTINEUSE:RecordismaintainedwithotherenlistmentprocessingrecordsTheformiscompletedbytheapplicantandassistedbyaService recruiterafteranoralinterviewandbeforetheapplicantcompletesanyportionofthequalificationprocess(aptitudeUSMEPCOMFormA-Eservesastheinitial medicalreleaseauthorization,processingchecklistandsecurityverificationformforapplicantsapplyingformilitaryservicetorecordqualificationrequirements provideanewsignatureonreversesideofform,flippedoverfrombottomtotopHowitworksombnoombapprovalTherequestedinformationonthisformwill beusedtoproperlyprocessandidentifytheindividualrequestinganexaminationatamilitaryentranceprocessingstation(MEPS).THEINFORMATION PROVIDEDCONSTITUTESANOFFICIALSTATEMENT.TheMEPSuserisnowabletoperformasignatureverificationbyflippingtheverybottomofthe formovertocompareagainstItemTheUMFA-Eismaintainedintheapplicant’spacketrecordTheformUseausmepcomformaetemplatetomakeyour documentworkflowmorestreamlinedEasilysigntheformwithFORUSEOFTHISFORM,SEEUSMEPCOMREGFOROFFICIALUSEONLYTHE INFORMATIONPROVIDEDCONSTITUTESANVHelpfulTipsforFillingoutUSMEPCOMA-EASERVICEPROCESSINGFOR–AFBPRIOR SERVICE–SelfExplanatoryCSELECTIVESERVICECLASSIFICATIONFORUSEOFTHISFORM,SEEUSMEPCOMREGREQUESTFOR EXAMINATIONTHEINFORMATIONPROVIDEDCONSTITUTESANOFFICIALSTATEMENTFORUSMEPCOMFormA-Eservesastheinitial medicalreleaseauthorization,processingchecklistandsecurityverificationformforapplicantsapplyingformilitaryservicetoTheUSMEPCOMFormA-Eisthe firstandmostimportantdocumentcompletedoneachapplicantprocessingforapplicationofenlistmentintotheArmedForcesSELECTIVESERVICE CLASSIFICATION–ThispertainstoMalesonly,youcanlookOMBNoOMBapprovalexpiresREQUESTFOREXAMINATIONupthisinformationat thefollowingsite:informationprovidedonthisform,andhavewitnessedtheapplicant'ssignature:(Date)NRDsqorRSLocation)ReplacesUSMEPCOMForm A-E,rwhichisobsolete(SignatureofTheUSMEPCOMFormA-Eguidestheapplicantthroughthequalificationprocessandisthegenesisforvalidatingthe qualityofpersonnelinformationOMBOMBThisinformationcollectionrequirementisnecessarytogathertherequireddatafordeterminingeligibilitytojointhe ArmedForcesandforestablishingpersonalrecordsonthoseenlistingOpenformfollowtheinstructionsUSMEPCOMFormA-Eservesastheinitialmedical releaseauthorization,processingchecklistandsecurityUSMEPCOMRegulation,paragraphsaandbcontaingeneralfilingguidance.CodeDOD/DODDEP. DISCLOSURE:Voluntary;refusaltoproviderequireddatacouldresultindenialofenlistmenttheinformationprovidedconstitutesanofficialstatementFOR USEOFTHISFORM,SEEUSMEPCOMREGFOROFFICIALUSEONLY