Veterans Service Record


Veterans full name(L,F,M): ________________________________________________________________________


Birth Date: _____________________________________ Birthplace: _____________________________________


Branch of Service: ______________________________ Service number: _________________________________


Date entered active duty: _______________________ Place of entry: _________________________________


Discharge recorded at: ____________________________________________________________________________


Date and place of marriage: _______________________________________________________________________

Children (name, date, and place of birth):

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Parents: __________________________________________________________________________________________
		(Last/First/Mother-Maiden Name/Town)


Citations, Cecorations, Medals, Ribbons: __________________________________________________________

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Area of Campaigns and Battles: ____________________________________________________________________

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Organization (Btn-Co-Inf-Reg-Div): ________________________________________________________________

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Military Service Comments (basic training, schools, ships, places, anything of interest):

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