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Get Da Form 2173 Example

Rivacy Act of 1974 found on Continuation Sheet which must be completed once per fiscal year. 1. APPLICANT DATA A. APPLICANT'S NAME (Last, First, MI) G. B. SSN C. ETS D. MOS E. DEGREE PLAN F. BPED ORGANIZATION AND LOCATION OF ASSIGNMENT 2. SCHOOL DATA A. NAME OF SCHOOL 2b. ARMY COUNSELOR DATA B. ADDRESS Name: Phone: 3. COURSE DATA A. DEPT & B. TITLE NUMBER L. COURSE BEGINS C. DAYS OF THE WEEK M. COURSE ENDS D. HOURS OF MEETING E. COST PER HOUR N. CAP APPLIED AMT 4. REVIEW I HAV.

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  • IAW
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  • footnote
  • Totals
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  • Continuation
  • Contracting
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