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Get CC Form 139-R 2011

Rom the ROTC Program? 41c. Were you ever discharged from the Armed Forces? 41g. Have you ever been discharged for medical reasons? 41d. If "yes" what type of discharge? 41e. If "yes" what was the RE Code? 41 h. If "yes", explain: REPLACES ALL PREVIOUS EDITIONS, WHICH ARE OBSOLETE. Page 1 of 6 Last Name 0 CADET ENROLLMENT RECORD SSN 0 PART IV - STUDENT STATEMENTS 42. RELEASE OF INFORMATION The Privacy Act requires that we notify you of other routine uses of the information we collect .

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