Download:
pdf |
pdfTransaction Control No.
(to be filled in by SCO):
CUI (when filled in)
OMB Number: 0705-AFMF
Expires: YYYYMMDD
ACCOMPANYING FAMILY MEMBERS (AFM)
The public reporting burden for this collection of information is estimated to average ## hours/minutes per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and
completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to the Department of Defense,
Washington Headquarters Services, at [email protected]. Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply
with a collection of information if it does not display a currently valid OMB control number.
PRIVACY ACT STATEMENT
AUTHORITY: List the Federal laws, Executive Orders or Departmental Directives that appear in the systems notice (i.e., 5 U.S.C. 301, Departmental Regulations and Executive Order 9397 (SSN), as amended.
PURPOSE: Usually the same information that is contained in the systems notice under "Purpose."
ROUTINE USES: Address who outside the Department of Defense will have access to the information (i.e., To the Department of Veteran’s Affairs to verify eligibility of benefits). Add the link to the applicable SORN.
DISCLOSURE: Cite whether or not the disclosure of information is "Voluntary" or "Mandatory". It is only appropriate to cite "Mandatory" when a Federal Law or E.O. of the President specifically imposes a requirement to furnish the information
and provides a penalty for failure to do so. If furnishing information is a condition for granting a benefit or privilege voluntarily sought by the individual, it is voluntary for the individual to give the information.
Instructions: This form is for Accompanying Family Members (AFM) only. Each adult AFM must fill out this form. The Department of Defense (DoD) utilizes the AFM's application (Department of State form
DS-160) for most of the required biographic information. This form collects the biographic information required by DoD but not covered by the DS-160. If the DS-160 has not been submitted, please fill in the
supplemental page. This form has a front and a back.
The following AFM do not need to complete this form:
-AFM who has credentialed recurring access (CRA) as of December 8, 2020 or who is under age of 18 at the time he or she is to receive CRA.
-AFM who holds U.S. citizenship, including as a dual citizen, or who is a lawful permanent resident of the United States.
Section 1: Identifying Information (used to locate the appropriate DS-106 form).
Given Name:
Surnames (list all surnames):
NEEDS DD67
Passport Number(s):
Issuing Country:
Visa Number (if already issued):
Section 2: Additional Contact Information. List any phone numbers or email addresses you did not already list on your DS-160 visa application.
Home Phone Numbers:
Personal Email Addresses:
Mobile Phone Numbers:
Professional Email Addresses:
Section 3: Non-Accompanying Immediate Family Members (Children, Siblings, Parents)
-No need to list family members under the age of 18 at the time you are completing this form.
-No need to list ex-spouses, ex-step-parents, or any individual accompanying you to the United States.
-If a particular non-accompanying family member is deceased, only list their name.
-Use the blank rows at the bottom if you have additional immediate family members.
Basic Information for:
Given Name
Surnames (all)
Alias(es) and Former
Name(s)
Place of Birth
(City and Country)
Date of Birth
(MMDDYY)
National Identity
Number
Name of Father
Spouse
Mother
Father
Step-Mother
DD FORM 3131, 20231030 DRAFT
CUI (when filled in)
Controlled by: DSCA
CUI Category: PRVCY
Distribution/Dissemination Control: FEDCON
POC:
Page 1 of 3
Transaction Control No.
(to be filled in by SCO):
CUI (when filled in)
Basic Information for:
Given Name
Surnames (all)
Alias(es) and Former
Name(s)
Place of Birth
(City and Country)
Date of Birth
(MMDDYY)
National Identity
Number
Name of Father
Step-Father
Sibling, Step-Sibling, or HalfSibling
Sibling, Step-Sibling, or HalfSibling
Sibling, Step-Sibling, or HalfSibling
Sibling, Step-Sibling, or HalfSibling
Child or Step-Child
Child or Step-Child
Child or Step-Child
NEEDS DD67
Child or Step-Child
Additional information for:
Mobile Phone Number(s)
Home Phone Number
Personal Email Address(es)
Spouse
Mother
Father
Step-Mother
Step-Father
DD FORM 3131, 20231030 DRAFT
CUI (when filled in)
Page 2 of 3
Transaction Control No.
(to be filled in by SCO):
CUI (when filled in)
Supplemental Page
Date of Birth (MMDDYY):
National Identity Number:
Country of Birth:
Place/City of Birth:
Military Identity Number:
City and Region of Residence:
Countries of Citizenship
College or University Attendance (MM/YYYY - MM/YYYY):
Program or Degree Title:
Degree or Certification:
NEEDS DD67
DD FORM 3131, 20231030 DRAFT
CUI (when filled in)
Page 3 of 3
File Type | application/pdf |
File Title | DD Form 3131, "ACCOMPANYING FAMILY MEMBERS (AFM)" |
File Modified | 2023-12-20 |
File Created | 2023-10-30 |