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1190 Form
Presence
15. If Spouse or Domestic Partner is Employed by the U.S. Government
Yes
Spouse or Domestic Partner Name (Last, First, MI)
No
Social Security Number
Allowances Received
16. Family Domiciled at Post
Name of Family Member
Relationship
DOB Except
Spouse or
Domestic Partner
(mm-dd-yyyy)
%
Support
Date of Arrival
at Post
(mm-dd-yyyy)
Allowances Received
Relationship
DOB Except
Spouse or
Domestic Partner
(mm-dd-yyyy)
%
Support
Date of
Departure
from Post
(mm-dd-yyyy)
Residence...
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