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Get Usarec Form 3 1

Aviation physical are furnished for the following individual: a. (Rank) (Print or Type Last Name, First Name, MI) b. (SSN) c. (Unit, Company, Duty Station) d. Physical Profile Code: P U e. Height: L H Weight: E S Age: f. Physical initiated on: (Date) g. Physical completed on: (Date) Stamped: h. If Flight Physical, date approved from USAAMC: (Applicant must include page one showing stamp from Fort Rucker.) (1W, 1A) i. Laboratory Findings HIV Date j. Individual is Fully Quali.

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