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2. Rate 6. UIC Type of Report 17. Regular 22. Reporting Senior Last FI MI Promotion / 12. Frocking RCS BUPERS 1610-1 3. Desig 7. Ship/Station 4. SSN 8. Promotion Status 13. Special Clear Form Period of Report 14. From 20. Physical Readiness 9. Date Reported 15. To 21. Billet Subcategory if any 18. Concurrent 23. Grade 24. Desig 25. Title 27. SSN 28. Command employment and command achievements 29. Primary/Collateral/Watchstanding duties. Enter Primary duty abbreviation in box. For Mid-term...
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