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Get DD 1172 2005

(YYYYMMMDD) 99. SIGNATURE 101. TYPED NAME (Last, First, Middle) 104. TITLE 97. DUTY PHONE NO. 94. UNIT/COMMAND NAME 102. PAY GRADE 105. UIC 106. DUTY PHONE NO. 103. UNIT/COMMAND NAME 107. UNIT/COMMAND ADDRESS (Street, City, State, ZIP Code) 109. DATE ISSUED (YYYYMMMDD) 108. SIGNATURE RECEIPT OF NEW CARD IS ACKNOWLEDGED 111. DATE ISSUED (YYYYMMMDD) 110. SIGNATURE DD FORM 1172, SEP 2005 PREVIOUS EDITION MAY BE USED. This form valid for issue of ID card 90 days from date of verifica.

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