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AFP PERSONNEL DATA SHEET

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I. Name:________________________________________________________________________
(Rank)
(First name) (Middle name) (Last name) (AFPSN) (BOS)
ll. MILITARY RECORD:
DESIGNATION/UNIT ASSIGMENT:__________________________________________
MILITARY OCCUPATIONAL SPECIALTY(MOS)_______________________________
DATE ENTERED MIL SVC:__________________AUTHORITY:____________________
CAD/DATE OF ENLISTMENT:________________AUTHORITY:___________________
DATE RETIREMENT:________________________NATURE:______________________
(day) (MO) (YR)
LENGTH OF SVC: MIL______________________CIV:___________________________
(year) (MO) (day)
(OPT,COMP,CDD)
lll. PERSONAL RECORD:
DATE OF BIRTH:__________________PLACE OF BIRTH:_______________________
HEIGTH:_________WEIGTH:________HAIR:________COMPLEXION_____________
RELIGION: ________TRIBE:__________IDENTIFICATION MARKS_______________
EDUCATIONAL ATTAINMENT:_____________________________________________
CIVIL STATUS:_____________DATE OF MARRIAGE:__________________________
PERMANENT ADDRESS (before and after retirement)____________________________
_________________________________________________________________________
_________________________________________________________________________
Telephone Nr:_____________Cell phone Nr:______________e-mail add______________
TIN:____________________
lV. CERTIFICATION/AUTHENTICATION:
I HEREBY CERTIFY UNDER AOTH THAT THE FOREGOING ENTRIES AND
DOCUMENTS SUBMMITTED ARE TRUE AND CORRECT TO THE BEST OF MY
KNOWLEDGE AND BELIEF.

__________________________
(Signature over printed name)
Date Signed______________________

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