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Get DS-5004 2005-2021

additional space is required.) DS-5004 (Formerly OF-136) 06-2005 Page 1 of 2 C. MILITARY SERVICE Complete the section below if you have performed active duty that terminated under honorable conditions in any of the following services: (a) Army, Navy, Marine Corps, Air Force, or Coast Guard of the United States; or (b) regular corps or reserve corps of the Public Health Service after June 30, 1960; or (c) as a commissioned officer of the Coast and Geodetic Survey after June 31, 1961. All mili.

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