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METABOLIC DISORDERS INDICATE ANY ABNORMALITY OF THE FOLLOWING GLANDS BY A CHECK IN THE APPROPRIATE BOX AND EXPLAIN UNDER REMARKS. THYROID PANCREAS DA FORM 3437 NOV 2008 PITUITARY OVARIAN Previous editions are obsolete. DEPARTMENT OF THE ARMY NONAPPROPRIATED FUNDS CERTIFICATE OF MEDICAL EXAMINATION 1. NAME CAPS LAST - FIRST - MIDDLE For use of this form see AR 215-3 the proponent agency is DCS G1. Applicant must supply information below to heavy line Typewrite or Print in Ink 2. SEX MR* - MISS - MRS* 3. BIRTH DATE Mo. day year MALE FEMALE 4. STREET ADDRESS AND APARTMENT NO. 5. CITY STATE AND ZIP CODE 6. POSITION TITLE AND NUMBER 7. PAY PLAN AND OCCUPATION CODE 8. GRADE OR LEVEL 9. SALARY 10. NAME AND LOCATION OF EMPLOYING OFFICE 11. A ARE YOU NOW EMPLOYED IN POSITION SHOWN IN ITEM 7 YES B IF YES GIVE THE DATE OF YOUR ORIGINAL APPOINTMENT TO THIS POSITION NO 13. A HAVE YOU ANY PHYSICAL DEFECT OR DISABILITY WHATSOEVER IF YES GIVE DETAILS* B DOES THE VETERANS ADMINISTRATION RECOGNIZE SERVI....

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