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Get Cg 5447 2003-2024

T Name, First Name, Middle Initial: 2. Grade/Rate/Rank: 3. SSN: 5. Home Address (apt#,Street#, street name, city, state, zip: 6. Work/duty phone: 7. Unit Name and location (city & state): 8. Home phone: 9. Unit OPFAC#: 12. Sex (M or F): 13. Race or Ethnicity: 11. Date of Birth & Age: 4. Date of Exam: 15. Examining facility name & location 16. Purpose of Examination: (City & State): Initial/Baseline 10. Unit Zip Code: 14. Occupation or usual duties (describe): Exit/Separation 17. How .

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