Da 1058-2026

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Click ‘Get Form’ to open the da 1058 in the editor.
Begin with Part I - Applicant. Fill in your name, permanent home address, and contact numbers. Ensure all information is accurate for proper identification.
Complete sections regarding your military details, including unit of assignment, grade, branch, and personal information such as marital status and number of dependents.
In section 19, specify your requested dates for active duty training. Clearly indicate your first and second choices along with the number of days required.
Review the physical qualification statement in section 20 and provide the date of your last examination.
Sign and date the form at section 21 to confirm your application before submitting it through our platform.

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