FOR OFFICIAL USE ONLY 
NAYPERS 720 (Rev. R-56) 
ADDITIONAL REMARKS 
UNITED STATES SHIP 
(Day) (Date) (Month) 
APPROVED: 
U.S.N. COMMANDING 
EXAMINED: 
U.S.N. NAVIGATOR 
TO BE FORWARDED TO THE BUREAU OF NAVAL PERSONNEL AT THE END OF EACH MONTH 
