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Click ‘Get Form’ to open it in the editor.
Begin with Section I: Member Information. Fill in your Social Security Number, Date of Birth, Last Name, First Name, and any Previous Names if applicable. Ensure your address and telephone number are clearly printed.
Indicate your Employer and Marital Status in the designated fields.
Move to Section II: Beneficiary Information. Enter the beneficiary's Name, Gender, Social Security Number, Relationship to you, Date of Birth, Address, and Telephone Number.
In Section III: Notary Public, sign the form in the presence of a notary who will complete this section. Make sure all information is accurate before submission.
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Dec 30, 2020 Furnish the US Army Administration Center, 9700 Page Boulevard, St Louis MO. 63132-1528, a copy of the cadets DD Form 4 following enlistment.Read more
Be sure to name in this form all persons you wish to designate as beneficiaries of any unpaid compensation payable at your death. Examples of Designations. 1.Read more
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