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Get NAVFAC 11240/10 1975-2024

Ns on reverse) PART I - APPLICATION 1. NAME (Last, First, Middle Initial) 2. RANK/RATE/GRADE AND TITLE 5. DATE OF BIRTH 4. AGE 6. PLACE OF BIRTH 9. WEIGHT 8. SEX 7. SOCIAL SECURITY NUMBER 10. HEIGHT 11. COLOR OF HAIR TYPE OF IDENTIFICATION CARD (Check) 16b. 12. COLOR OF EYES 14. SUPERVISOR (Name) 13. SHOP NAME/NUMBER AND APPLICANT'S BADGE NUMBER 16a. 3. ACTIVITY 15. PHONE NUMBER TYPES OF VEHICLES TO BE OPERATED (Check) REGULAR PASSENGER CAR BUS (GAS AND DIESEL) TRUCK 4 x 4 .

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