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On Center prior to beginning of course. Please print. SSN : NAME: LAST FIRST MI BRANCH OF SERVICE PAYGRADE DATE OF BIRTH (YYMMDD) GI BILL ENROLLED IN: MOS/RATE/RANK/DESIGNATOR ACTIVE DUTY SERVICE DATE (YY/MM/DD) 1. Vietnam Era END ACTIVE OBLIGATED SERVICE (YY/MM/DD) 2. VEAP WORK PHONE: ( ) SEX 3. MGIB UIC: (NAVY) (5 DIGITS) 4. EATP 5. NONE RUC/MCC: (MARINE CORPS) (8 DIGITS) COURSE LOCATION 1. ON-BASE 2. OFF-BASE 3. DISTANCE LEARNING (I.E., INDEPENDENT STUDY, VIDEO, TV, COMPUTER.

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  • YYMMDD
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  • SOCMAR
  • 2005
  • PAYGRADE
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  • 2007
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