FOR OFFICIAL USE ONLY 
HAVPERS 720 (Rev. 4-56) 
ADDITIONAL REMARKS 
UNITED STATES SHIP_._ 
(Day) (Date) (Month) 
ft 
APPROVED 
EXAMINED: 
_ U.S.N. COMMANDING __ U.S.N. NAVIGATOR 
TO 8E FORWARDED TO THE BUREAU OF NAVAL PERSONNEL AT THE END OF EACH MONTH 
/ 
