MANAGEMENT CONTROL EVALUATION CERTIFICATION 1.
REGULATION NUMBER
STATEMENT AR 165-1
2. DATE OF REGULATION
For use of this form, see AR 11-2; the proponent agency is ASA(FM). 5 Mar 10
3. ASSESSABLE UNIT
DSTB
4. FUNCTION
Chaplain
5. METHOD OF EVALUATION (Check one)
a. CHECKLIST b. ALTERNATIVE METHOD (Indicate method)
APPENDIX (Enter appropriate letter)
6. EVALUATION CONDUCTED BY
a. NAME (Last, First, MI) b. DATE OF EVALUATION
CH(CPT) Sudash J. Kokeram
7. REMARKS (Continue on reverse or use additional sheets of plain paper)
We do not have the following items:
C89480 A CAMOUFLAGE NET SYSTEM RADAR SCATTERING: AN/ USQ – 159 2
N05482 A NIGHT VISION: GOGGLE 2
N96248 A NAVIGATION SET: SATELLITE SIGNALS AN/PSN – 13 1
R20684 A RADIAC SET: AN/VDR – 2 1
R31061 A RADIAC SET: AN/UDR – 13 1
Basic issues items:
No 23 5120-00-240-5328 Wrench Adjustable
No 24 5120-01-156-7296 Wrench Wheel Lug
No 19 5120-00-223-7397 Pliers, Slip Joint
No 20 5120-00-234-8913 Screw driver Cross Tip
No 21 5120-00-227-7356 Screw driver Flat Tip
• Strong Bonds make it possible for us to provide better facilities for our retreats.
• Improvements: A need to invite speakers to educate our soldiers on the various forms of addictions
• Recommend support for the book list for the Real Warrior.
• For prayer breakfast additional funds are needed to provide meals for all attendees.
• Additional funds are needed for educational materials.
• Additional funds are needed for further participation in the good neighbor program.
• The marriage certification training must be updated (The seven habits of highly effective family).
• Certification in ASSIST is required so that we can better identify and prevent possible suicides.
• Religious leaders from different Faiths should be available to talk with soldiers to let them know that we are
8. CERTIFICATION
I certify that the key management controls in this function have been evaluated in accordance with provisions of AR 11-2, Management Control. I also
certify that corrective action has been initiated to resolve any deficiencies detected. These deficiencies and corrective actions (if any) are described above
or in attached documentation. This certification statement and any supporting documentation will be retained on file subject to audit/inspection until
superseded by a subsequent management control evaluation.
a. ASSESSABLE UNIT MANAGER
(1) TYPED NAME AND TITLE b. DATE CERTIFIED
JAMES M. BURNS
LTC, Commanding
(2) SIGNATURE
EDITION OF JAN 94 IS OBSOLETE:
DA FORM 11-2-R, JUL 94
7. REMARKS (Continued)