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Initial) c. SSN d. SERVICE COMPONENT (2) CITY (3) STATE (4) ZIP CODE 2. RECRUITING OFFICE ADDRESS a. STREET b. CITY c. STATE d. ZIP CODE 3100 Alcott Rd. Richmond VA 23237 e. CURRENT UNIT/ COMMAND b. PAY GRADE f. ADDRESS (1) STREET 3. ACKNOWLEDGEMENT OF SERVICE MEMBER a. I request a conditional release to process for entrance into another component of the Military Service. If I am a member of the National Guard or Reserve, I understand that I must attend all scheduled training u.

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