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DISCLOSURE Voluntary however failure to disclose will prevent the applicant from traveling on a DoD-owned or controlled aircraft. PART A - TO BE COMPLETED BY APPLICANT 2. NAME Last First Middle Initial 3. PAY GRADE 6. UNIT/COMMAND NAME 4. BRANCH OF SERVICE 5. SSN 8. SIGNATURE 9. DATE SIGNED YYYYMMDD The Reservist named above is an active reserve component member and is eligible for space available transportation on DoD-owned or controlled aircraft in accordance with DoD Regulation 4515. 13-R an ...

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