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1 - OTHER DOD R - REGULAR N - NAVY M - MARINE CORPS ACTIVITY V - RESERVE 4. SOCIAL SECURITY NUMBER 5. NAME (Last, First, Middle Initial) G - NATIONAL GUARD 1 - OTHER 6. DATE OF BIRTH 7. SEX M - MALE F - FEMALE (YYYYMMDD) 8. PAY GRADE, 9. PAY GRADE, 10. SERVICE DUTY UNIFORMED SERVICES CIVILIAN OCCUPATION CODE 11. MAILING ADDRESS OF ASSIGNMENT 12. LOCATION - PLACE OF WORK 13. MAJOR COMMAND 15. AUDIOMETRY 1 - 90 DAY a. PURPOSE 2 - ANNUAL 14. DUTY TELEPHONE (Include area code) 3 - TERMI.

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