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APPLICATION FOR ASSIGNMENT TO HOUSING

DD form 1746, SEP 93 APPLICATION FOR ASSIGNMENT TO HOUSING (Before completing form , read Privacy Act Statement and Instructions on reverse) Previous editions may be used. Adobe Professional 1. TYPE SERVICE DESIRED (X one or both) a. MILITARY HOUSING b. HOUSING REFERRAL SECTION I - APPLICANT INFORMATION 2. NAME OF SPONSOR (Last, First, Middle Initial) 3. PAY GRADE 4. SSN 5. DOD COMPONENT 6. ADDRESS (Street, City, State, Zip Code) 7. TELEPHONE NUMBER a. HOME (Area Code) b. DUTY (DSN) 8. STATUS OF APPLICANT (X one) a. MILITARY MEMBER b. MILITARY SPOUSE c. CIVILIAN d. FOREIGN NATIONAL 9. MARITAL STATUS 10. I AM SEPARATED FROM MY DEPENDENTS (X one) a. VOLUNTARILY b. INVOLUNTARILY 11. I REQUEST HOUSING FOR (X one) a. SELF ONLY b. SELF AND DEPENDENTS 12. INSTALLATION/ORGANIZATION TRANSFERRED FROM 13. INSTALLATION/ORGANIZATION TRANSFERRED TO SECTION II - MILITARY CAREER INFORMATION (Civilians skip to Item 15.)

DD Form 1746, SEP 93 ... Housing Office, (2) the DoD program on equal opportunity for military personnel in off-base housing, and (3) nondiscrimination based on physical ... Enter the identification of the assignment waiting list(s) to which the applicant is placed. f.

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