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Get and Sign 1172 Form
HAIR 42. CITY 50. INCAP 51. MEDICARE 45. COUNTRY 67. V/I 77. STU 78. INCAP 54. HEIGHT 28. MARITAL STATUS 32. END ELIG REASON 37. ID NO. 56. MARITAL STATUS DATE 55. WEIGHT 64. SSN 65. ID NO. 69. SUPPLEMENTAL ADDRESS INFORMATION 59. PRIVILEGES AUTHORIZED Enter correct abbreviation AFTER privilege Morale Welfare Medical Commissary Exchange Exchange Recreation Civilian Service Unlimited Limited 68. CURRENT RESIDENCE ADDRESS 46. HOME TELEPHONE NO. Include Area Code 62. SEX 63. RELATIONSHIP 70. CITY...
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