This Registry Form MUST be sent online. Do NOT mail
SECTION 1
Last Name as it appears on your Report of Separation (DD-214):
First Name:
Middle Name:
Title: Jr
Sr
II
III
IV
The following selection permits you to select ONE award you were officially issued. When selecting ONE of the Awards listed you state that you possess military-issued documentation confirming you or the veteran was authorized the Award. Be advised that federal law enforceably prohibits any person wrongfully mistating recipientship of a United States military medal. Severe penalties are imposed for fraudulent misrepresentation of military Award authorization.
Select one Medal/Award you (or the veteran you are registering) received and authorizing document(s) you possess:
Country of Service:
Service Branch:
Other:
Final Enlisted, Warrant or Officer Paygrade
Final Rank Title:
Street Address:
City:
State:
Zip, Postal or City Code:
Phone (NO SPACES OR DASHES):
Names of Units or vessels (Do NOT enter locations):
Names of Duty stations (Do NOT enter names of units or vessels):
Please re-type your email address for verification:
Month/Day/Year you entered military service (Example: 10/31/1955) (For some this may be the date you swore the Oath but entered on a later date):
Month/Day/Year discharged from uniformed military service (Example: 09/26/1984) DO NOT enter the date your military obligation ended:
SERIAL / SERVICE NUMBER
NOTE: Military serial / service numbers converted to Social Security numbers (SSN) in July, 1969. You will be entering the FIRST EIGHT DIGITS ONLY...NUMERALS ONLY... NO LETTERS, NO SPACES, NO DASHES. You will not enter the last digit of the SSN number.
Enter the veteran's FIRST FOUR DIGITS ONLY
Enter the SECOND FOUR (or remaining) DIGITS ONLY
Month and Day of Birth:
Which military or veteran's organization(s) are you a member?
VFW
Amvets
VVA
DAV
JWV
American Legion Other(s):
Your Twitter, Facebook or other social media website address...
Twitter:
Facebook:
Other:
The American Heroes Personnel Registry was established on July 4th, 1988. It is the largest online public access locator database in the United States. To date, the Registry contains over 61 million listings. New listings are added daily. Existing listings are updated continuously.
You may also place a military-era photograph of yourself or another person in The Registry's G.I.. Photograph Museum of Honor. For more info click the G.I. Photograph Museum banner below.
Be advised that federal law enforceably prohibits any person wrongfully mistating recipientship of a United States military medal. Severe penalties are imposed for fraudulent misrepresentation of military Award authorization.