Fillable DD Form 1172-2 , Application for Identification Card/DEERS - CAC - cac
APPLICATION FOR IDENTIFICATION CARD/DEERS ENROLLMENT
Please read Agency Disclosure Notice, Privacy Act Statement, and Instructions prior to completing this form.
OMB No. 0704-0415 OMB approval expires Jan 31, 2014
SECTION I - SPONSOR/EMPLOYEE INFORMATION
1. NAME (Last, First, Middle) 2. GENDER 3. SSN OR DOD ID NO. 4. STATUS 5. ORGANIZATION
6. PAY GRADE
7. GEN. CAT
9. DATE OF BIRTH (YYYYMMMDD)...
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