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Get USCG CG-4082 2010-2024

this form. Key Word(s) (see instructions) Descriptive Title and Institution and/or Location of Activity Qualification, Cert.,Grade or N/A Member Signature*: Date Submitted: Commanding Officer Signature*: (required) Date Completed Date Approved: * By signing above both Member and Commanding Officer certify that all information submitted in this form is accurate and correct based on actual achievements by the member. PREVIOUS EDITIONS ARE OBSOLETE Reset Page 2 of CG-4082 PRIVACY ACT S.

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