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Get OH AGOH 621-3 2011-2024

Reason for this termination request is Signature of Unit Commander AGOH Form 621-3 1OCT11 Other Forms Obsolete. APPLICATION FOR TRANSFER REACTIVATION OR WITHDRAWAL/REMOVAL OF STUDENT X the appropriate action / / TRANSFER / / REACTIVATION / / WITHDRAWAL/REMOVAL ACTIVE DUTY EXCEPTION / / If currently discharged and eligible for ONGSP tuition assistance through the deployment waiver from previous deployment. Please attach DD 214 THIS FORM MUST BE RECEIVED IN THE ADJUTANT GENERAL S DEPARTMENT ATTN ONGSP 2825 WEST DUBLIN GRANVILLE ROAD COLUMBUS OHIO 43235-2789 NO LATER THAN 1 APR* SUMMER 1 JUL* FALL 1 NOV. SPRING SEMESTER/WINTER QUARTER 1 FEB. SPRING QUARTER FAX 614-336-7318 / EMAIL ongsp ng. army. mil Last Name First Middle Initial SSN Address City County Sex Phone State Zip Race Male or Female Caucasion African-American Hispanic etc* Military Unit Active Duty Exception Deployment Wvr YES NO Name of institution previously attended Code Term Name / Month Year HOW MANY CREDIT HOURS FOR THE REQUESTED TERM EMAIL 1 I affim that I have signed and understand the Statement of Understanding AGOH 621-1 dtd 1OCT11 and the above information is true to the best of my knowledge. APPLICANT S SIGNATURE DATE WITHDRAWAL/REMOVAL WITHDRAWAL I will NOT be attending next term School Code DATE SIGNED REMOVAL REMOVAL The soldier s name above is no longer considered as a member in good standing with this unit and I request that his/her tuition grant be immediately terminated as set forth in AGOR 621-1/35-1. APPLICATION FOR TRANSFER REACTIVATION OR WITHDRAWAL/REMOVAL OF STUDENT X the appropriate action / / TRANSFER / / REACTIVATION / / WITHDRAWAL/REMOVAL ACTIVE DUTY EXCEPTION / / If currently discharged and eligible for ONGSP tuition assistance through the deployment waiver from previous deployment. Please attach DD 214 THIS FORM MUST BE RECEIVED IN THE ADJUTANT GENERAL S DEPARTMENT ATTN ONGSP 2825 WEST DUBLIN GRANVILLE ROAD COLUMBUS OHIO 43235-2789 NO LATER THAN 1 APR* SUMMER 1 JUL* FALL 1 NOV. Please attach DD 214 THIS FORM MUST BE RECEIVED IN THE ADJUTANT GENERAL S DEPARTMENT ATTN ONGSP 2825 WEST DUBLIN GRANVILLE ROAD COLUMBUS OHIO 43235-2789 NO LATER THAN 1 APR* SUMMER 1 JUL* FALL 1 NOV. SPRING SEMESTER/WINTER QUARTER 1 FEB. SPRING QUARTER FAX 614-336-7318 / EMAIL ongsp ng. army. mil Last Name First Middle Initial SSN Address City County Sex Phone State Zip Race Male or Female Caucasion African-American Hispanic etc* Military Unit Active Duty Exception Deployment Wvr YES NO Name of institution previously attended Code Term Name / Month Year HOW MANY CREDIT HOURS FOR THE REQUESTED TERM EMAIL 1 I affim that I have signed and understand the Statement of Understanding AGOH 621-1 dtd 1OCT11 and the above information is true to the best of my knowledge. SPRING SEMESTER/WINTER QUARTER 1 FEB. SPRING QUARTER FAX 614-336-7318 / EMAIL ongsp ng. army. mil Last Name First Middle Initial SSN Address City County Sex Phone State Zip Race Male or Female Caucasion African-American Hispanic etc* Military Unit Active Duty Exception Deployment Wvr YES NO Name of institution previously attended Code Term Name / Month Year HOW MANY CREDIT HOURS FOR THE REQUESTED TERM EMAIL 1 I affim that I have signed and understand the Statement of Understanding AGOH 621-1 dtd 1OCT11 and the above information is true to the best of my knowledge. APPLICANT S SIGNATURE DATE WITHDRAWAL/REMOVAL WITHDRAWAL I will NOT be attending next term School Code DATE SIGNED REMOVAL REMOVAL The soldier s name above is no longer considered as a member in good standing with this unit and I request that his/her tuition grant be immediately terminated as set forth in AGOR 621-1/35-1. .

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