Transcription of CLEAR FORM EXCEPT BASIC NAVY & RECRUITER …
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CITY: STATE: ZIP: COUNTY/PARISH:Prior Military Service FROM:TO: PAYGRADE: RE-CODE: CLEAR form EXCEPT BASIC navy & RECRUITER INFO (p. 2)RESERVE RECRUITER TOOL BOX Updated (1130)In order to keep this Toolkit updated, please send all updates/additions/comments to toolkit creator: NC1 Marta Martin / 504-906-0303 (text)( ) / LAST, FIRST & INITIAL: FULL NAME:SOCIAL:DOB:ADDRESS:EMAIL: GET SELECTIVE SERVICE #NRD/NTAGPOB:DL STATE,#, EXP.: AGE: CLEAR ENTIRE form INITIAL CONTACT: INTERVIEW DATE: PROCESSING DATE: PHYSICAL DATE: CONTRACT DATE:REQUESTED RATE: a. TEST IDb. TEST SCORESAFQTPERCENTILEGSARWKPCMKEIASMCAOVE PREVIOUS RATE:ASVAB SCORES NEEDED FOR REQUESTED RATE:RELIGION:ASVABPHONE NUMBER:Prior Military/Last Duty Station:Branch: MOS/Rate:Re-Code:RAD:End IRR:High School/College:Start Graduation Dates: City/State:# DEPENDENTS:ED. CODE:MARITAL STATUS:BRANCH:--MEDICALH eight:Weight:Body fat:TATTOOS:Current Medications:VA Claim?
1966/1 Item 19. p. 310-Block 1: Number of enlistment - enter one digit code to indicate the number of enlistments in the Navy as follows: 1 - 1st enlistment (USN/USNR) 2 - 2nd enlistment (USN/USNR)
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