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4-01 EF Page 2 HAS NATURAL PARENT OTHER THAN CLAIMANT OF CHILD REN LISTED EVER BEEN A MEMBER OF ANY HAS YOUR SPOUSE EVER BEEN A MEMBER OF ANY U.S. ARMED FORCE IF YES COMPLETE THE BLOCKS BELOW. BRANCH OF SERVICE INCLUSIVE DATES OF ACTIVE SERVICE WITH DEPENDENTS REGULAR RESERVE I CERTIFY that all the above statements are true to the best of my knowledge and belief and I consent to checkage against my pay for any allowances paid on laws and regulations. USMC ORGANIZATION AND STATION PREPARING THIS ...

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