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MOD-Sponsored Cadet Forces Application for the Award of Cadet Forces Medal or Clasp s This form supersedes all previous versions including any single-Service Cadet Force application forms. Number Personal Details Home Address Rank/Rate Surname Initials Postcode Contact Tel Current/Last Unit Address Cadet Forces Medal tick as appropriate Clasp to the Cadet Forces Medal Clasp no. e*g* 1st/2nd. Service Type of Service Dates of Service a Periods of Qualifying c Yrs Days b From To Total Applicant Declaration I Declare that I have completed at least 12 years continuous uniformed Service over the age of 18 for the award of the medal and a further 6 years for the award of each Clasp in accordance with the CFM regulations dated Oct 2004 Signature Unit/Area/Wing Certification Date. I hereby certify that the above named is serving/has served in the MODSponsored Cadet Forces and that he/she has completed the requisite qualifying service is efficient in his/her duties and is qualified in accordance with the CFM regulations dated Oct 2004. This individual is therefore recommended as deserving of the award of the Cadet Forces Medal/Clasp s as requested above. See Notes overleaf Unit Name and Address Commanding Officer s Rank/Title Bde/Area/ Wing Name Cadet Force HQ The qualifying date for this award is and Substantive Rank held on this date was Supporting Notes - Service Details 1. List Service in chronological order. 2. Column a Choose from SCC Officer SCC OR CCF RN / RM Officer CCF RN / RM Rating ACF Officer ACF OR CCF Army Officer CCF Army OR RAFVR T ATC OR 3. Column c should show periods of qualifying Service in years and months. 4. Do not include Service already counted towards any other efficiency or long-service award. Number Personal Details Home Address Rank/Rate Surname Initials Postcode Contact Tel Current/Last Unit Address Cadet Forces Medal tick as appropriate Clasp to the Cadet Forces Medal Clasp no. e*g* 1st/2nd. Service Type of Service Dates of Service a Periods of Qualifying c Yrs Days b From To Total Applicant Declaration I Declare that I have completed at least 12 years continuous uniformed Service over the age of 18 for the award of the medal and a further 6 years for the award of each Clasp in accordance with the CFM regulations dated Oct 2004 Signature Unit/Area/Wing Certification Date. e*g* 1st/2nd. Service Type of Service Dates of Service a Periods of Qualifying c Yrs Days b From To Total Applicant Declaration I Declare that I have completed at least 12 years continuous uniformed Service over the age of 18 for the award of the medal and a further 6 years for the award of each Clasp in accordance with the CFM regulations dated Oct 2004 Signature Unit/Area/Wing Certification Date. I hereby certify that the above named is serving/has served in the MODSponsored Cadet Forces and that he/she has completed the requisite qualifying service is efficient in his/her duties and is qualified in accordance with the CFM regulations dated Oct 2004.