Get Dd Form 372

UNIT/COMMAND NAME AND MAILING ADDRESS Street City State and ZIP Code c. RECRUITER SIGNATURE DD FORM 372 MAR 2008 PREVIOUS EDITION IS OBSOLETE. Adobe Professional 7. 1. DATE OF REQUEST YYYYMMDD REQUEST FOR VERIFICATION OF BIRTH OMB No* 0704-0006 OMB approval expires Feb 28 2011 The public reporting burden for this collection of information is estimated to average 5 minutes per response including the time for reviewing instructions searching existing data sources gathering and maintaining the data needed and completing and reviewing the collection of information* Send comments regarding this burden estimate or any other aspect of this collection of information including suggestions for reducing the burden to the Department of Defense Washington Headquarters Services Executive Services Directorate Information Management Division 1155 Defense Pentagon Washington DC 20301-1155 0704-0006. Respondents should be aware that notwithstanding any other provision of law no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. PLEASE DO NOT RETURN YOUR COMPLETED FORM TO THE ABOVE ORGANIZATION* RETURN COMPLETED FORM TO THE ADDRESS LISTED IN SECTION III ITEM 14. b. SECTION I Fill in every item in this section 2. FULL NAME OF CHILD AT TIME OF BIRTH Last First Middle Names 3. SEX X MALE 4. DATE OF BIRTH FEMALE 5. PLACE OF BIRTH a* CITY b. COUNTY c* STATE 6. FULL NAME OF FATHER AT TIME OF BIRTH OF CHILD LISTED IN BLOCK 2 Last First Middle Names 7. FULL NAME OF MOTHER AT TIME OF BIRTH OF CHILD LISTED IN BLOCK 2 Last First Middle and Maiden Names 8. RECRUITING OFFICER/REPRESENTATIVE MAKING REQUEST a* NAME Last First Middle Initial b. RANK/GRADE c* TITLE d. SIGNATURE SECTION II For use by Vital Statistics Department only 9. CORRECTIONS OF ABOVE STATEMENT MADE ACCORDING TO FACTS ON FILE BY b. ORGANIZATION c* STREET d. CITY This is to verify that the above data as corrected are true and correct according to the record on file in this office. These data are confidential and cannot be used in any manner except for official purposes. e. STATE f* ZIP CODE 10. CERTIFICATE NUMBER 11. FILE DATE YYYYMMDD 12. VERIFIED BY Signature 13. DATE SIGNED SECTION III For completion by recruiting office b. 1. DATE OF REQUEST YYYYMMDD REQUEST FOR VERIFICATION OF BIRTH OMB No* 0704-0006 OMB approval expires Feb 28 2011 The public reporting burden for this collection of information is estimated to average 5 minutes per response including the time for reviewing instructions searching existing data sources gathering and maintaining the data needed and completing and reviewing the collection of information* Send comments regarding this burden estimate or any other aspect of this collection of information including suggestions for reducing the burden to the Department of Defense Washington Headquarters Services Executive Services Directorate Information Management Division 1155 Defense Pentagon Washington DC 20301-1155 0704-0006. Respondents should be aware that notwithstanding any other provision of law no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number.