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- Click ‘Get Form’ to open the da 7652 in the editor.
- Begin by filling out Section I: Soldier Demographic Information. Enter the date, last name, first name, middle name, PMOS, birthdate, age, and unit of assignment.
- Proceed to Section II: Administrative Information. Confirm each data item with appropriate personnel and mark 'Yes' or 'No' for each question regarding the Soldier's administrative status.
- In Section III: Performance Information, provide detailed assessments of the Soldier's performance related to their medical conditions. Use 'Yes', 'No', or 'N/Obs' for each item and elaborate in Section III D as necessary.
- Complete Section IV: Commander's Validation and Signature by entering your printed name, rank, signature, unit address, phone number, email address, DSN, and fax number.
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