Get the free For use of this form, see AR 40-400; the proponent agency is OTSG - aclu
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IZ 3. Register Number For use of this form, see AR 40400; the proponent agency is OSG 4. Pay Grade Name (Last, First, MI) 5. Sex FAN 19500601 9. Ethnicity 8. Race 7. Age at Admission 6. DOB (YYYYMMDD)
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