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Get Form 86a

Ers to "Where You Have Lived," "Where You Went to School," and/or "Your Employment Activities." Follow the instructions on the form for the particular questions you are answering and give information in the same sequence. Use as many continuation sheets as needed. Your Social Security Number Your Name 11 WHERE YOU HAVE LIVED (Continued) #5 Month/Year To Month/Year Status Own Military housing Rent Street address Apt.# Other (Explain) APO/FPO address State City (Country) Name of person.

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