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Get DD 149 2003

Inent, give regional office location and claim number.) 10. I DESIRE TO APPEAR BEFORE THE BOARD IN WASHINGTON, D.C. (At no expense to the Government) (X one) YES. THE BOARD WILL DETERMINE IF WARRANTED. 11.a. COUNSEL (If any) NAME (Last, First, Middle Initial) and ADDRESS (Include ZIP Code) NO. CONSIDER MY APPLICATION BASED ON RECORDS AND EVIDENCE. b. TELEPHONE (Include Area Code) c. E-MAIL ADDRESS d. FAX NUMBER (Include Area Code) 12. APPLICANT MUST SIGN IN ITEM 15 BELOW. If the record in .

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