Fillable dd 1172 online 2011 form

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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 8. CITIZENSHIP 9. DATE OF BIRTH (YYYYMMMDD)...
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dd 1172 online
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