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1. Provided more than 180 consecutive days of full time active duty in the armed forces of the United States or reserve components, including more than the National Guard?, or 2. Have a military service disability rating fixed by the United States Veterans Affairs? Yes No. If yes, did you serve during the Vietnam Conflict (2/28/61-3/7/75)? Yes No 17. Prior Convictions: 17a. Have you ever been convicted of any violation of law, including moving traffic violations: If yes, then please provide.

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