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Personnel ID: Jake000r #01
Contact Information

01. E-Mail Address

Your e-mail here

02. ICQ Number

Your ICQ# here

Personal Information

03. Complete Name Your name here
04. Current Grade Your rank here
05. Location Your town,state here
06. Connection Your connection here
07. Birth Date You DOB here
08. Eye Color Your eye color here
09. Hair Color Your hair color here
10. Height Your height here
11. Weight Your weight here
12. Blood Type Your blood type here
13. Occupation Your occupation
14. Entry Date Your enlistment date here
15. Specialties Your specialties here
16.  Weaponry
Qualifications
Your qualifications here

Service Record

17. Total Matches  
18. Bronze Medals  
18. Medals, Ribbons, and Awards
 

Authentication

16. Personnel Signature:
Your singanture here
16. Personnel Officer Signature:
Your signature here

DOCUMENT PREPARED BY
RN DIV.
PERSONNEL PROCESSING DEPARTMENT