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|Developmental Counseling FORM |

|For use of this form, see FM 6-22, the proponent agency is TRADOC |

|DATA REQUIRED BY THE PRIVACY ACT OF 1974 |

|Authority: |5 USC 301, Departmental Regulations; 10 USC 3013, Secretary of the Army. |

|PRINCIPAL PURPOSE: |To assist leaders in conducting and recording counseling data pertaining to subordinates. |

|ROUTINE USES: |The DoD Blanket Routine Uses set forth at the beginning of the Army's compilation of systems or records notices |

|DISCLOSURE: |alsoapply to this system. |

| |Disclosure is voluntary. |

|Part I - Administrative Data |

|Name (Last, First, MI) |Rank/Grade |Date of Counseling |

| | | |

|Pursley, Ryan |PFC / E-3 |22 June 2016 |

|Organization |Name and Title of Counselor |

|A co 3 EN BN 3ABCT...