training and proficiency record - air traffic controller€¦ · training and proficiency record -...
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NAME (Last, First, Middle Initial)
TRAINING AND PROFICIENCY RECORD - AIR TRAFFIC CONTROLLER For use of this form, see TC 3-04.15; the proponent agency is TRADOC.
RANKASGD INITIAL
This form consists of Sections I through IV. It will be used as an authoritative source of information and reference in regard to the individual's training record as an air traffic controller in the United States Army and as a comprehensive training progress report.
DA FORM 3479, OCT 2019 PREVIOUS EDITIONS ARE OBSOLETE.
FACILITY or SECTION, UNIT OF ASSIGNMENT,
INSTALLATION or LOCATION
APPLICABLE EQUIPMENT, CERTIFICATES or AWARDS,
and REMARKS
CTO NUMBER ATCS NUMBER
DUTIES PERFORMEDFROM TO
DATE ASSIGNED
GENERAL INFORMATION
SECTION I - ASSIGNMENTS
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DA FORM 3479, OCT 2019
NAME (Last, first, middle initial) RANK
FACILITY or SECTION, UNIT OF ASSIGNMENT,
INSTALLATION or LOCATION
APPLICABLE EQUIPMENT, CERTIFICATES or AWARDS,
and REMARKS
CTO NUMBER ATCS NUMBER
DUTIES PERFORMEDFROM TO
DATE ASSIGNED
SECTION I - ASSIGNMENTS (Continued)
1 -
ASGD INITIAL
APD AEM v1.00ES
DA FORM 3479, OCT 2019
NAME (Last, first, middle initial) RANK
FACILITY or SECTION, UNIT OF ASSIGNMENT,
INSTALLATION or LOCATION
APPLICABLE EQUIPMENT CERTIFICATES or AWARDS,
and REMARKS
CTO NUMBER ATCS NUMBER
DUTIES PERFORMEDFROM TO
DATE ASSIGNED
SECTION I - ASSIGNMENTS (Continued)
1 -
ASGD INITIAL
APD AEM v1.00ES
DA FORM 3479, OCT 2019
NAME (Last, first, middle initial) RANK
FACILITY or SECTION, UNIT OF ASSIGNMENT,
INSTALLATION or LOCATION
APPLICABLE EQUIPMENT, CERTIFICATES or AWARDS,
and REMARKS
CTO NUMBER ATCS NUMBER
DUTIES PERFORMEDFROM TO
DATE ASSIGNED
SECTION I - ASSIGNMENTS (Continued)
1 -
ASGD INITIAL
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SECTION II - TRAINING, TESTING, AND EVALUATIONS
SUBJECT / POSITION / EQUIPMENT TYPE OF TRAINING RESULTSDATE REMARKS
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DA FORM 3479, OCT 2019 2 -
SECTION II - TRAINING, TESTING, AND EVALUATIONS (Continued)
SUBJECT / POSITION / EQUIPMENT TYPE OF TRAINING RESULTSDATE REMARKS
APD AEM v1.00ES
DA FORM 3479, OCT 2019 2 -
SECTION II - TRAINING, TESTING, AND EVALUATIONS (Continued)
SUBJECT / POSITION / EQUIPMENT TYPE OF TRAINING RESULTSDATE REMARKS
APD AEM v1.00ES
DA FORM 3479, OCT 2019 2 -
SECTION II - TRAINING, TESTING, AND EVALUATIONS (Continued)
REMARKSRESULTSDATETYPE OF TRAININGSUBJECT / POSITION / EQUIPMENT
APD AEM v1.00ES
DA FORM 3479, OCT 2019 2 -
SECTION II - TRAINING, TESTING, AND EVALUATIONS (Continued)
REMARKSRESULTSDATETYPE OF TRAININGSUBJECT / POSITION / EQUIPMENT
APD AEM v1.00ES
DA FORM 3479, OCT 2019 3 -
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NAME, RANK, AND TITLE SIGNATURE
NAME, RANK, AND TITLE SIGNATURE
NAME, RANK, AND TITLE SIGNATURE
NAME, RANK, AND TITLE SIGNATURE
NAME, RANK, AND TITLE SIGNATURE
NAME, RANK, AND TITLE SIGNATURE
SECTION III - MISCELLANEOUS GENERAL COMMENTS
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NAME, RANK, AND TITLE SIGNATURE
NAME, RANK, AND TITLE SIGNATURE
NAME, RANK, AND TITLE SIGNATURE
NAME, RANK, AND TITLE SIGNATURE
NAME, RANK, AND TITLE SIGNATURE
NAME, RANK, AND TITLE SIGNATURE
SECTION III - MISCELLANEOUS GENERAL COMMENTS (Continued)
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NAME, RANK, AND TITLE SIGNATURE
NAME, RANK, AND TITLE SIGNATURE
NAME, RANK, AND TITLE SIGNATURE
NAME, RANK, AND TITLE SIGNATURE
NAME, RANK, AND TITLE SIGNATURE
SECTION III - MISCELLANEOUS GENERAL COMMENTS (Continued)
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NAME, RANK, AND TITLE SIGNATURE
NAME, RANK, AND TITLE SIGNATURE
NAME, RANK, AND TITLE SIGNATURE
NAME, RANK, AND TITLE SIGNATURE
NAME, RANK, AND TITLE SIGNATURE
NAME, RANK, AND TITLE SIGNATURE
SECTION III - MISCELLANEOUS GENERAL COMMENTS (Continued)
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DA FORM 3479, OCT 2019 3 -
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NAME, RANK, AND TITLE SIGNATURE
NAME, RANK, AND TITLE SIGNATURE
NAME, RANK, AND TITLE SIGNATURE
NAME, RANK, AND TITLE SIGNATURE
NAME, RANK, AND TITLE SIGNATURE
SECTION III - MISCELLANEOUS GENERAL COMMENTS (Continued)
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DA FORM 3479, OCT 2019
January
February
March
April
May
June
July
August
September
October
November
December
SECTION IV - INDIVIDUAL RADAR RECORD
Total Runs for Year
* S/S = Supervised/Simulated * LV = Live Unsupervised/Non-Simulated
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FACILITY CHIEF'S SIGNATURE DATEFACILITY CHIEF'S PRINTED NAMEI have verified the runs brought forward are accurate.
YEAR:PAR ASR
EMERG/NO GYROGRANDTOTAL
REMARKS
*S/S *LV *S/S *LV
PAR ASR
*S/S *LV *S/S *LV
TOTAL Runs
Total Runs Brought Forward