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MILITARY SERVICE MEMBER FORM
Please complete as much info as possible--send copy of DD214, picture, etc. if possible.
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Last Name
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First and Middle Names
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Rank
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Military Branch
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Date of Birth
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DD
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YYYY
Place of Birth
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Date of Death
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DD
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YYYY
Place of Death
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Location of Burial
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Name of Cemetery
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Date of Entry or Enlistment
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DD
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YYYY
Date of Discharge
MM
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DD
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YYYY
War and/or Peace Time Service
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Awards and/or Medals Received
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KIA/WIA/MIA/POW Stats
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Father
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Mother
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Spouse
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