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Pplicant Information Ensure Javascript Is Enabled Before Attempting to Use! (Bar should be Purple) (LEAVE BLANK IF NMN) LAST FIRST MIDDLE SUFFIX PLACE OF BIRTH: CITY COUNTY SSN DATE MOVED TO ADDRESS ADDRESS CITY STATE ENLISTING GRADE ZIP PHONE STATE COUNTY DOB: PVT / E-1 MALE MARRIED FEMALE SINGLE HEIGHT: FEET INCHES TOTAL INCHES RACIAL CATEGORY: WEIGHT ETHNIC CATEGORY: MAX WEIGHT AMERICAN INDIAN/ALASKA NATI.

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