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Cg 4910 Form
WITNESS
DIV./
DEPT.
RATE/GRADE/TITLE OF PERSON SUBMITTING REPORT
RATE/
GRADE
NAME OF WITNESS
DIV./
DEPT.
SIGNATURE OF PERSON SUBMITTING REPORT
INITIAL ACTION OF EXECUTIVE OFFICER
(When allegations apparently involve minor offenses normally handled by NJP or SCM, the accused should be advised of the allegation(s) and offered the opportunity to
select a representative. If a statement is to be requested, advise accused of rights from Form CG-5168A or "Encl. (5)", MJM (COMDTINST M5810.1...
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