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Get HI CC 103-R 2005-2024

IVACY ACT OF 1974 Authority Principal Purpose Routine Use(s) Disclosure 10 USC 2102 and 2107 To physically identify each applicant. To be used by the HQ ROTC Cadet Command Selection Board in consideration of the applicant. Use of this form is mandatory. Applicant may not be considered if picture is not submitted. SIGNATURE OF APPLICANT PRINTED NAME SSN(do not include the dashes) HEIGHT(represented in inches) DATE OF PICTURE (Month and Year) CC FORM 103-R, AUG 2005 PREVIOUS EDITIONS ARE O.

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