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® USERRA Military Service Credit Application You must read the instructions provided with this form before completing and making the certifications contained below. MEMBER INFORMATION
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Document Date: 2013-02-28 16:27:18

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City

Austin / /

Country

United States / /

/

IndustryTerm

uniformed services / /

Organization

Current Service / Public Health Service / RULE §127.4 Credited Service / National Guard / /

/

Position

President / CITY OFFICIAL / /

ProvinceOrState

Texas / Participating Municipality / /

URL

www.tmrs.com / /

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