The document notes that the beginning of the officer's active duty was 26 September 1941 and lists the amount of leave he took and accrued each year since then.
This form details Edwin D. Burwell Jr.'s credits based on service, time overseas, combat, and parenthood. It also notes individual desires and eficiency index. The back of the form provides instructions for its completion and notes that credits and desires are secondary to the needs of the military.