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Get VA 22-5490 2005

Rmation and Instructions INTERNET VERSION AVAILABLE - You may complete and send your application over the Internet at: www.gibill.va.gov PART I - APPLICANT INFORMATION 1A. NAME OF APPLICANT (FIRST-MIDDLE-LAST) 1B. SOCIAL SECURITY NUMBER OF APPLICANT 2A. SEX OF APPLICANT 2B. APPLICANT’S E-MAIL ADDRESS MALE FEMALE 3A. RELATIONSHIP OF APPLICANT TO VETERAN SPOUSE SURVIVING SPOUSE CHILD DAY 1C. DATE OF BIRTH OF APPLICANT 3B. APPLICANT’S TELEPHONE NUMBER (Including Area Code) EVENING ( ).

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