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Get CG4445.PDF. Official Use Only - Applying For A Commission As An Officer

Ted your name as a reference. In order to assist us in evaluating the applicant's potential for service as a Coast Guard officer, we request that you complete the form on the reverse side of this letter and return it in the enclosed postage free envelope. The Privacy Act requires that the information you provide on this form be disclosed to the applicant on request, unless you desire that your identity remain confidential. If you check the box in line 25 on the reverse of this form, you are gran.

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