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Plan, and (5) identification of potential program volunteers. ROUTINE USES: Information provided may be released IAW the Army's blanket routine uses contained in AR 340-21. DISCLOSURE: Disclosure of requested information is voluntary; however, if information is not provided, individuals may not be able to participate in CDS programs. NAME OF SPONSOR (Last, first, MI) DATE ADDRESS (Include ZIP Code) TELEPHONE DUTY ADDRESS (Include ZIP Code) TELEPHONE CHILD DATA BIRTH DATE NICKNAME NA.

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