356-30 Army of the United States Separation Qualification Record Save this form. It will not be replaced if lost
This record of job assignments and special training received in the Army is furnished to the soldier when he leaves the service. In its preparation, information is taken from available Army records and supplemented by personal interview. The information about civilian education and work experience is based on the individual's own statements. The veteran may present this document to former employers, prospective employers, representatives of schools or colleges, or use it in any other way that may prove beneficial to him.
1. Last name--first name--middle initial Newton Leslie N 2 Army Serial No. 33 027 283 3 Grade S-SGT 4 Social Security No. 165-12-7700 5 Permanent Mailing Address (Street, city, county, state) 4027 Comly St. Phila. Phila. County, Pa. 6 Date of Entry Into Active Service 27 Feb 41 7 Date of Separation 13 Oct 43 Date of Birth 12 Jun 17 8 Date of Birth 12 Jun 17 Place of Separation Indiantown Gap, Pa. Military Occupational Assignments 10 Months 4 45 11 Grade Pvt S-SGT 12 Military Occupational Specialty Basic Tr. 521 Radio Repairman 647
Summary of Military Occupations 13 Title--Description--Related Civilian Occupation Radio Repairman: Inspected, tested and repaired major repairs on radio transmitting and receiving instruments. Tested equipment using such instruments as voltimeter, ohmmeter, tube testers, and oscilloscope. Corrected defects either by repairing units of by replacing parts. Used small machine and hand tools such as drill press, soldering iron, screw drivers and special wrenches. Performed major maintainance on aircraft radio equipment such as radio compress, in telephones and marker beacon. WD AGO Form 1 Jul 1945 100 This form supersedes
WD AGO Form 100, 15 July 1944, which will not be used.