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Get DS-5001 2004-2024

Held from your salary. DEPARTMENT OR AGENCY LOCATION OF EMPLOYMENT (City and State) TITLE OF POSITION PERIODS OF SERVICE Beginning Date Ending Date (mm-dd-yyyy) (mm-dd-yyyy) 7. MILITARY RECORD - List below inclusive dates of active military service (see instructions on page 2 of this form). ORGANIZATION DATE (mm-dd-yyyy) RANK ENTRANCE INTO ACTIVE DUTY (mm-dd-yyyy) DATE OF HONORABLE DISCHARGE (mm-dd-yyyy) SIGNATURE OF APPLICANT PLEASE READ INSTRUCTIONS ON PAGE 2 DS-5001 Formerly OF-141.

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