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OMB Control No[removed]Respondent Burden: 15 minutes FOR VA USE ONLY MAIL COMPLETED APPLICATION TO: COE REF. NO.
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Document Date: 2011-09-27 11:05:10

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City

Decatur / /

Company

WebLGY / /

Currency

USD / /

IndustryTerm

Internet Page / energy efficiency improvements / online system / /

Organization

Selected Reserve / Congress / OR NATIONAL GUARD / USED DURING MILITARY SERVICE / Department of Veterans Affairs / SERVICE ON THE NEXT PAGE / MILITARY SERVICE / Reserve Service / Selected Reserves / National Guard Service / United States Marine Corps / ACTIVE SERVICE / Selected Reserve Service / /

Person

RESERVE OR / Active Duty / OR ENLISTED / /

/

Position

SERVICE DATE ENTERED DATE SEPARATED OFFICER / clerk / personnel officer / Representative / commander of your unit or higher headquarters / SECRETARY / commander of your unit / /

ProvinceOrState

Virginia / Georgia / /

RadioStation

Reserve DARP FM 249 / /

URL

www.reginfo.gov/public/do / /

SocialTag