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Get Uscg Cg-5588 2012

Sition 2. SSN 3. Pay Grade/Civ. Series & Grade 6. Former Maiden Name/Aliases 4. Rank/Rate (Military) 7. Date of Birth (YYYYMMDD) 8. Place of Birth PART II – LOCAL SECURITY REQUIREMENTS/CLEARANCE REAPPROVAL 9. U.S. Citizenship Verified: Yes No By whom __________________________________ 10. Local Records Check Completed: (MIL) PDR ✔ HEALTH ✔ RESULTS: Favorable (CIV) OPF ✔ Unfavorable 11. Subject has continuous service with no break greater than 24 months: Conducted by: ____.

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