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19a. Are you a male born after December 21, 1959? If No , go to 20a. If Yes, Yes go to 19b. 19c. Registration Number 19d. Legal Exemption Explanation 19. Your Selective Service Record 19b. Have you registered with the Selective Service System? If Yes , provide your registration number. If No , Yes show the reason for your legal exemption. No No 20a. Military Service (Past or Present). (If Yes, complete Items 20b, 20c, 20d, 20e, and 20f.) 20b. Dates of Service (MM/YYYY) To 20c.

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