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Name: |
Last: *,
First: *, |
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Middle initial: .,
Nickname:" ". |
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HMH-463 Service: |
From: month/year: / *, to
month/year: / *. |
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Duty assignment: |
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MOS: , |
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Flying Status: |
Please check
here, if you were "on" flight skins. |
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Comments: |
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Current Address: |
Street address: |
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Supplemental: |
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City/Town: * |
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State: *, Zipcode: . |
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Contact Info: |
Phone #: . |
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E-mail: *. |
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Personal information will be made available to squadron-mates ONLY! |
