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CT OF 1974 AUTHORITY: 10 U.S. Code 3013, and PL 11, 84th Congress. PRINCIPAL PURPOSE: To verify soldier's amateur status. ROUTINE USES: To validate amateur status. DISCLOSURE: Disclosure of information is voluntary. However, failure to disclose information would result in non-selection. SECTION A - ATHLETE'S DATA AND STATEMENT 1. NAME (Last, First, MI) 4. UNIT AND STATION 5. STATEMENT a. 2. GRADE 3. SSN I, the undersigned, declare that I understand the requirements for amateuri.

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