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Get VA 21-674 1994

T III. Return the original (VA File Copy) to the VA Office shown in Item 1. The copy will be retained by the claimant. SEE INSTRUCTIONS ON REVERSE OF COPY 1. PART I - TO BE COMPLETED BY CLAIMANT (Also sign certification in Part III) 2. FIRST NAME-MIDDLE INITIAL-LAST NAME OF VETERAN (Type or print) 3. VA FILE NUMBER 4A. FIRST NAME-MIDDLE INITIAL-LAST NAME OF STUDENT (Veteran’s child attending school) (Type or print) 4B. STUDENT’S SOCIAL SECURITY NUMBER 5A. DATE OF BIRTH 5C. DATE OF MARRI.

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