VETERAN'S Last Name:
First Name:
Middle Name:
NOTE: Military serial numbers converted to social security numbers in July, 1969
I/this veterans did not serve overseas
I/this veterans served overseas in the following country or war zone:
The date I/this veterans began service in the above country or war zone:
(Day/Month/Year)
The date I/this veterans ended service in the above country or war zone:
(Day/Month/Year)
Service Branch:
Highest rank or rating title held (Example: SGT, CAPT, PO3C, etc.):
Day, Month, Year first entered military service (Example: 31 Oct 1955):
Day, Month, Year military service ended (Example: 10 Sep 1984):
1. Overseas or At-Sea unit, vessel or duty station:
(Day/Month/Year) Date arrived at this station/unit/vessel
(Day/Month/Year) Date left this station/unit/vessel
2. Overseas or At-Sea unit, vessel or duty station:
(Day/Month/Year) Date arrived at this station/unit/vessel
(Day/Month/Year) Date left this station/unit/vessel
3. Overseas or At-Sea unit, vessel or duty station:
(Day/Month/Year) Date arrived at this station/unit/vessel
(Day/Month/Year) Date left this station/unit/vessel
4. Overseas or At-Sea unit, vessel or duty station:
(Day/Month/Year) Date arrived at this station/unit/vessel
(Day/Month/Year) Date left this station/unit/vessel
Please provide your email address:
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