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Enter APPLICANT'S ADDRESS \(Complete street address, city, state, and 9 digit ZIP Code\))>> endobj 99 0 obj<>/N<>>>/AS/Off/StructParent 5/MK<>/TM(F[0].Page_1[0].male[0])/DA(/ZaDb 10.00 Tf 0 g)/TU( MALE)>> endobj 100 0 obj<> endobj 101 0 obj<>/Subtype/Form/FormType 1/Matrix[1.0 0.0 0.0 1.0 0.0 0.0]>>stream q 1 1 8 8 re W n 2 8 m 8 2 l 8 8 m 2 2 l s Q endstream endobj 102 0 obj<>/Subtype/Form/FormType 1/Matrix[1.0 0.0 0.0 1.0 0.0 0.0]>>stream 0.749023 g 0 0 10 10 re f q 1 1 8 8 re W n 2 8 m 8 2 l 8 8 m 2 2 l s Q endstream endobj 103 0 obj<>/Subtype/Form/FormType 1/Matrix[1.0 0.0 0.0 1.0 0.0 0.0]>>stream 0.749023 g 0 0 10 10 re f endstream endobj 107 0 obj<>/N<>>>/AS/Off/StructParent 6/MK<>/TM(F[0].Page_1[0].female[0])/DA(/ZaDb 10.00 Tf 0 g)/TU( FEMALE)>> endobj 108 0 obj<>/Subtype/Form/FormType 1/Matrix[1.0 0.0 0.0 1.0 0.0 0.0]>>stream q 1 1 8 8 re W n 2 8 m 8 2 l 8 8 m 2 2 l s Q endstream endobj 109 0 obj<>/Subtype/Form/FormType 1/Matrix[1.0 0.0 0.0 1.0 0.0 0.0]>>stream 0.749023 g 0 0 10 10 re f q 1 1 8 8 re W n 2 8 m 8 2 l 8 8 m 2 2 l s Q endstream endobj 110 0 obj<>/Subtype/Form/FormType 1/Matrix[1.0 0.0 0.0 1.0 0.0 0.0]>>stream 0.749023 g 0 0 10 10 re f endstream endobj 114 0 obj<>/TM(F[0].Page_1[0].Dateofbirthapplicant[0])/DA(/TimesNewRomanPSMT 11.00 Tf 0 g)/TU(2 C. Applicants date of birth. Enter 2-digit month, 2-digit day and 4-digit year.)>> endobj 117 0 obj<>/TM(F[0].Page_1[0].emailaddress[0])/DA(/TimesNewRomanPSMT 11.00 Tf 0 g)/TU(2 D. Enter applicants email address)>> endobj 120 0 obj<>/TM(F[0].Page_1[0].teleday[0])/DA(/TimesNewRomanPSMT 11.00 Tf 0 g)/TU(A. Applicants Day time telephone number. Enter 10-digit telephone number including area code.)>> endobj 123 0 obj<>/TM(F[0].Page_1[0].nighttele[0])/DA(/TimesNewRomanPSMT 11.00 Tf 0 g)/TU(B. Applicants night time telephone number. Enter 10-digit telephone number including area code.)>> endobj 126 0 obj<>/N<>>>/AS/Off/StructParent 11/MK<>/TM(F[0].Page_1[0].CheckBoxA[0])/DA(/ZaDb 10.00 Tf 0 g)/TU(Checkbox. A.)>> endobj 127 0 obj<>/Subtype/Form/FormType 1/Matrix[1.0 0.0 0.0 1.0 0.0 0.0]>>stream q 1 1 20 20 re W n 2 20 m 20 2 l 20 20 m 2 2 l s Q endstream endobj 128 0 obj<>/Subtype/Form/FormType 1/Matrix[1.0 0.0 0.0 1.0 0.0 0.0]>>stream 0.749023 g 0 0 22 22 re f q 1 1 20 20 re W n 2 20 m 20 2 l 20 20 m 2 2 l s Q endstream endobj 129 0 obj<>/Subtype/Form/FormType 1/Matrix[1.0 0.0 0.0 1.0 0.0 0.0]>>stream 0.749023 g 0 0 22 22 re f endstream endobj 132 0 obj<>/N<>>>/AS/Off/StructParent 12/MK<>/TM(F[0].Page_1[0].CheckBoxb[0])/DA(/ZaDb 10.00 Tf 0 g)/TU(Checkbox B)>> endobj 133 0 obj<>/Subtype/Form/FormType 1/Matrix[1.0 0.0 0.0 1.0 0.0 0.0]>>stream q 1 1 20 20 re W n 2 20 m 20 2 l 20 20 m 2 2 l s Q endstream endobj 134 0 obj<>/Subtype/Form/FormType 1/Matrix[1.0 0.0 0.0 1.0 0.0 0.0]>>stream 0.749023 g 0 0 22 22 re f q 1 1 20 20 re W n 2 20 m 20 2 l 20 20 m 2 2 l s Q endstream endobj 135 0 obj<>/Subtype/Form/FormType 1/Matrix[1.0 0.0 0.0 1.0 0.0 0.0]>>stream 0.749023 g 0 0 22 22 re f endstream endobj 138 0 obj<>/N<>>>/AS/Off/StructParent 13/MK<>/TM(F[0].Page_1[0].CheckBoxc[0])/DA(/ZaDb 10.00 Tf 0 g)/TU(Checkbox c)>> endobj 139 0 obj<>/Subtype/Form/FormType 1/Matrix[1.0 0.0 0.0 1.0 0.0 0.0]>>stream q 1 1 20 20 re W n 2 20 m 20 2 l 20 20 m 2 2 l s Q endstream endobj 140 0 obj<>/Subtype/Form/FormType 1/Matrix[1.0 0.0 0.0 1.0 0.0 0.0]>>stream 0.749023 g 0 0 22 22 re f q 1 1 20 20 re W n 2 20 m 20 2 l 20 20 m 2 2 l s Q endstream endobj 141 0 obj<>/Subtype/Form/FormType 1/Matrix[1.0 0.0 0.0 1.0 0.0 0.0]>>stream 0.749023 g 0 0 22 22 re f endstream endobj 144 0 obj<>/N<>>>/AS/Off/StructParent 14/MK<>/TM(F[0].Page_1[0].CheckBoxd[0])/DA(/ZaDb 10.00 Tf 0 g)/TU(Checkbox d)>> endobj 145 0 obj<>/Subtype/Form/FormType 1/Matrix[1.0 0.0 0.0 1.0 0.0 0.0]>>stream q 1 1 20 20 re W n 2 20 m 20 2 l 20 20 m 2 2 l s Q endstream endobj 146 0 obj<>/Subtype/Form/FormType 1/Matrix[1.0 0.0 0.0 1.0 0.0 0.0]>>stream 0.749023 g 0 0 22 22 re f q 1 1 20 20 re W n 2 20 m 20 2 l 20 20 m 2 2 l s Q endstream endobj 147 0 obj<>/Subtype/Form/FormType 1/Matrix[1.0 0.0 0.0 1.0 0.0 0.0]>>stream 0.749023 g 0 0 22 22 re f endstream endobj 150 0 obj<>/N<>>>/AS/Off/StructParent 15/MK<>/TM(F[0].Page_1[0].CheckBoxe[0])/DA(/ZaDb 10.00 Tf 0 g)/TU(Checkbox e)>> endobj 151 0 obj<>/Subtype/Form/FormType 1/Matrix[1.0 0.0 0.0 1.0 0.0 0.0]>>stream q 1 1 20 20 re W n 2 20 m 20 2 l 20 20 m 2 2 l s Q endstream endobj 152 0 obj<>/Subtype/Form/FormType 1/Matrix[1.0 0.0 0.0 1.0 0.0 0.0]>>stream 0.749023 g 0 0 22 22 re f q 1 1 20 20 re W n 2 20 m 20 2 l 20 20 m 2 2 l s Q endstream endobj 153 0 obj<>/Subtype/Form/FormType 1/Matrix[1.0 0.0 0.0 1.0 0.0 0.0]>>stream 0.749023 g 0 0 22 22 re f endstream endobj 156 0 obj<>/N<>>>/AS/Off/StructParent 16/MK<>/TM(F[0].Page_1[0].CheckBoxf[0])/DA(/ZaDb 10.00 Tf 0 g)/TU(Checkbox f)>> endobj 157 0 obj<>/Subtype/Form/FormType 1/Matrix[1.0 0.0 0.0 1.0 0.0 0.0]>>stream q 1 1 20 20 re W n 2 20 m 20 2 l 20 20 m 2 2 l s Q endstream endobj 158 0 obj<>/Subtype/Form/FormType 1/Matrix[1.0 0.0 0.0 1.0 0.0 0.0]>>stream 0.749023 g 0 0 22 22 re f q 1 1 20 20 re W n 2 20 m 20 2 l 20 20 m 2 2 l s Q endstream endobj 159 0 obj<>/Subtype/Form/FormType 1/Matrix[1.0 0.0 0.0 1.0 0.0 0.0]>>stream 0.749023 g 0 0 22 22 re f endstream endobj 163 0 obj<>stream H{OXq|qHYZ@.IlVZvcTc4 !c,}?MUV_E$Im5hdxYyױܝJD!ϲFZX,l#ډ1.O{߷Vٰٱa,DA>ѳӳh/\< Y8`>0 s*ey^UUXdF]7|="ݓ$h4R="2Md61%R},Wr}u~zCQvPoWԘ]m]:~ssӿbaZKv<9eYEQʛqέV+㳲,u=?&*B)7۶뺪|nž盛z~yP~ש~E\3R>pF['ɀ9ɵ랱[Ų,7M4<}Z:{Y]i:Qmri*ZΊ&VTŎۘׯ~]rszCb1,KK~ivUbk,;N*A|\wڶUU}ZkE}W4ZUUJ4]imfDK;Da۷$IEa8窪jVI]ׇ=QQqu]goWitx<*h~\y~Ed^a%eY**||T,q=Olv{+;{֢ٕؿB{MQ}r<}_E=iڶ;i0  0bP>a(ǚƝYְ$i0ưԘN۶5մ=*jı0ՌׯDί~?ձ)ie10:6ͳ<>/MSK&I$ιfί뺲,|0_7Mp8 uU0{dYy%I(i:7kc4cY?ooo˲< 5c -KsΝ_UU!'_n_\.,Oݰ;?E%9׶~wXׇ~=fٹ @zZ򏥖Vry%ݢ($IŪs]׹3W,x|8}GCDDDDDDDDh}wG#xoY|>WJ0m1ijɲ( iAȶmWJŷUZz-,K [upCsHeG5(~jX~ӛG """""""8㺮t:ӧOaJxMRXyZzmWH5sTV67}u2|>_nj($u-'7?9H@WUUpڸhȲ'"""""""9GH^~4M1o qS=CmXy^0jz5 im#!j]Xdsr)+Komۢj:(pce2XPyq#6ODDDDDDD,K! \5TUc+[\]]$ vYf4M%,˶mǹ_nY}oHdTɅ(EiZGE9}j!83=4"djo{ >oG`\ NDDDDDDDDgpћ0 u]^)eYUUHR,KĢ(ԋu]'IYwJ L1Ciaq#e۶i*4M*y`Y$Qw" D/ 0큈N|>rDRu]l6 4-(!P'۶m=J\__,xBHP 3q,mns\UUUuPaxuud\^jh岖X!'"""""""r]1cD˲gYeV)UUUHF 6q.oF+MSĮ/A.ie^0 öapm[DTA☮8$|8/M߽{PU<#`DDDDDDDDC aҲ,?rGQtF]۶$G,KTifضSQ׵4&$u]=< J㈤(teLv1~T6р4۷3 nмa2yE5Ms8r0ROuj}if6ky4MY(efv0 HKO):yLg&0 t~)4b2|>Jt۲8,⃵!eΰٶٶٶٶٶٶٶٴǴ< C]ב+ڶUOz>a=4M#9歪 8I_a("""""""N ޶m$u]y(Bl6;>|G0ЌT12):%l6m"IH!q3nzFR|2l X{/ >}T5M=yK _~G\5 i41_g4"""""""NuDT]m۪_a˲ oO}7MS$8 UO4ߺ+EQUUn'xyuuLˇm5(0δRIV<uOyш޴$I%kf٨' ÀX5{(2MIe/T0($br߶,m<6 %GoJ@uTĿ4_Xt]czZFDDDDDDDf3qRMӨÙj5p|.eY:n\ʵm[)t8 v+0 SWUe fiZ8/LD(^_d'kr?-sZ}}ϠiZRqQ89\۶ (22Hc'n0nMuy9i0 hl"О=M4=u? 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OTHER \(Specify benefit\))>> endobj 268 0 obj<>/Subtype/Form/FormType 1/Matrix[1.0 0.0 0.0 1.0 0.0 0.0]>>stream q 1 1 8 8 re W n 2 8 m 8 2 l 8 8 m 2 2 l s Q endstream endobj 269 0 obj<>/Subtype/Form/FormType 1/Matrix[1.0 0.0 0.0 1.0 0.0 0.0]>>stream 0.749023 g 0 0 10 10 re f q 1 1 8 8 re W n 2 8 m 8 2 l 8 8 m 2 2 l s Q endstream endobj 270 0 obj<>/Subtype/Form/FormType 1/Matrix[1.0 0.0 0.0 1.0 0.0 0.0]>>stream 0.749023 g 0 0 10 10 re f endstream endobj 274 0 obj<>/N<>>>/AS/Off/StructParent 26/MK<>/TM(F[0].Page_2[0].typeD[0])/DA(/ZaDb 10.00 Tf 0 g)/TU(D. DEPENDENTS' EDUCATIONAL ASSISTANCE BENEFITS \(Chapter 35\) \(Complete Items 7. 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endstream endobj 434 0 obj<>/Subtype/Form/FormType 1/Matrix[1.0 0.0 0.0 1.0 0.0 0.0]>>stream 0.749023 g 0 0 10 10 re f endstream endobj 438 0 obj<>/N<>>>/AS/Off/StructParent 54/MK<>/TM(F[0].Page_2[0].yes8f[0])/DA(/ZaDb 10.00 Tf 0 g)/TU(YES)>> endobj 439 0 obj<>/Subtype/Form/FormType 1/Matrix[1.0 0.0 0.0 1.0 0.0 0.0]>>stream q 1 1 8 8 re W n 2 8 m 8 2 l 8 8 m 2 2 l s Q endstream endobj 440 0 obj<>/Subtype/Form/FormType 1/Matrix[1.0 0.0 0.0 1.0 0.0 0.0]>>stream 0.749023 g 0 0 10 10 re f q 1 1 8 8 re W n 2 8 m 8 2 l 8 8 m 2 2 l s Q endstream endobj 441 0 obj<>/Subtype/Form/FormType 1/Matrix[1.0 0.0 0.0 1.0 0.0 0.0]>>stream 0.749023 g 0 0 10 10 re f endstream endobj 451 0 obj<>/TM(F[0].Page_2[0].completenameofschool[0])/DA(/TimesNewRomanPSMT 12.00 Tf 0 g)/TU( Enter Complete Name and Address of School \(Complete street address, city, state and 9 digit ZIP Code\))>> endobj 454 0 obj<>/TM(F[0].Page_2[0].Datebeginning[0])/DA(/TimesNewRomanPSMT 12.00 Tf 0 g)/TU( Date \(Month, Year\) of 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Enter 2-digit month and 2-digit year.)>> endobj 646 0 obj<>/TM(F[0].Page_3[0].semesterhourscompleted1[0])/DA(/TimesNewRomanPSMT 11.00 Tf 0 g)/TU(Enter NUMBER OF SEMESTER, QUARTER OR CLOCK HOURS COMPLETED)>> endobj 649 0 obj<>/TM(F[0].Page_3[0].semesterhourscompleted2[0])/DA(/TimesNewRomanPSMT 11.00 Tf 0 g)/TU(Enter NUMBER OF SEMESTER, QUARTER OR CLOCK HOURS COMPLETED)>> endobj 652 0 obj<>/TM(F[0].Page_3[0].semesterhourscompleted3[0])/DA(/TimesNewRomanPSMT 11.00 Tf 0 g)/TU(Enter NUMBER OF SEMESTER, QUARTER OR CLOCK HOURS COMPLETED)>> endobj 655 0 obj<>/TM(F[0].Page_3[0].degreediplomacertificate1[0])/DA(/TimesNewRomanPSMT 11.00 Tf 0 g)/TU(Enter DEGREE, DIPLOMA, OR CERTIFICATE RECEIVED)>> endobj 658 0 obj<>/TM(F[0].Page_3[0].degreediplomacertificate2[0])/DA(/TimesNewRomanPSMT 11.00 Tf 0 g)/TU(Enter DEGREE, DIPLOMA, OR CERTIFICATE RECEIVED)>> endobj 661 0 obj<>/TM(F[0].Page_3[0].degreediplomacertificate3[0])/DA(/TimesNewRomanPSMT 11.00 Tf 0 g)/TU(Enter DEGREE, DIPLOMA, OR CERTIFICATE RECEIVED)>> endobj 664 0 obj<>/TM(F[0].Page_3[0].majorfield1[0])/DA(/TimesNewRomanPSMT 11.00 Tf 0 g)/TU(Enter MAJOR FIELD OR COURSE OF STUDY)>> endobj 667 0 obj<>/TM(F[0].Page_3[0].majorfield2[0])/DA(/TimesNewRomanPSMT 11.00 Tf 0 g)/TU(Enter MAJOR FIELD OR COURSE OF STUDY)>> endobj 670 0 obj<>/TM(F[0].Page_3[0].majorfield3[0])/DA(/TimesNewRomanPSMT 11.00 Tf 0 g)/TU(Enter MAJOR FIELD OR COURSE OF STUDY)>> endobj 673 0 obj<>/N<>>>/AS/Off/StructParent 90/MK<>/TM(F[0].Page_3[0].yesfaa[0])/DA(/ZaDb 10.00 Tf 0 g)/TU(YES)>> endobj 674 0 obj<>/Subtype/Form/FormType 1/Matrix[1.0 0.0 0.0 1.0 0.0 0.0]>>stream q 1 1 8 8 re W n 2 8 m 8 2 l 8 8 m 2 2 l s Q endstream endobj 675 0 obj<>/Subtype/Form/FormType 1/Matrix[1.0 0.0 0.0 1.0 0.0 0.0]>>stream 0.749023 g 0 0 10 10 re f q 1 1 8 8 re W n 2 8 m 8 2 l 8 8 m 2 2 l s Q endstream endobj 676 0 obj<>/Subtype/Form/FormType 1/Matrix[1.0 0.0 0.0 1.0 0.0 0.0]>>stream 0.749023 g 0 0 10 10 re f endstream endobj 680 0 obj<>/N<>>>/AS/Off/StructParent 91/MK<>/TM(F[0].Page_3[0].nofaa[0])/DA(/ZaDb 10.00 Tf 0 g)/TU(NO)>> endobj 681 0 obj<>/Subtype/Form/FormType 1/Matrix[1.0 0.0 0.0 1.0 0.0 0.0]>>stream q 1 1 8 8 re W n 2 8 m 8 2 l 8 8 m 2 2 l s Q endstream endobj 682 0 obj<>/Subtype/Form/FormType 1/Matrix[1.0 0.0 0.0 1.0 0.0 0.0]>>stream 0.749023 g 0 0 10 10 re f q 1 1 8 8 re W n 2 8 m 8 2 l 8 8 m 2 2 l s Q endstream endobj 683 0 obj<>/Subtype/Form/FormType 1/Matrix[1.0 0.0 0.0 1.0 0.0 0.0]>>stream 0.749023 g 0 0 10 10 re f endstream endobj 689 0 obj<>/TM(F[0].Page_3[0].certificate1[0])/DA(/TimesNewRomanPSMT 11.00 Tf 0 g)/TU(Enter Certificate. Line 1 of 5)>> endobj 692 0 obj<>/TM(F[0].Page_3[0].certificate2[0])/DA(/TimesNewRomanPSMT 11.00 Tf 0 g)/TU(Enter Certificate. Line 2 of 5)>> endobj 695 0 obj<>/TM(F[0].Page_3[0].certificate3[0])/DA(/TimesNewRomanPSMT 11.00 Tf 0 g)/TU(Enter Certificate. Line 3 of 5)>> endobj 698 0 obj<>/TM(F[0].Page_3[0].principaloccupation1[0])/DA(/TimesNewRomanPSMT 11.00 Tf 0 g)/TU(Enter Principal Occupation)>> endobj 701 0 obj<>/TM(F[0].Page_3[0].principaloccupation2[0])/DA(/TimesNewRomanPSMT 11.00 Tf 0 g)/TU(Enter Principal Occupation)>> endobj 706 0 obj<>/TM(F[0].Page_3[0].certificate4[0])/DA(/TimesNewRomanPSMT 11.00 Tf 0 g)/TU(Enter Certificate. Line 4 of 5)>> endobj 709 0 obj<>/TM(F[0].Page_3[0].certificate5[0])/DA(/TimesNewRomanPSMT 11.00 Tf 0 g)/TU(Enter Certificate. Line 5of 5)>> endobj 712 0 obj<>/TM(F[0].Page_3[0].numberofmonths1[0])/DA(/TimesNewRomanPSMT 11.00 Tf 0 g)/TU(Enter number of months in that occupation)>> endobj 715 0 obj<>/TM(F[0].Page_3[0].numberofmonths2[0])/DA(/TimesNewRomanPSMT 11.00 Tf 0 g)/TU(Enter number of months in that occupation)>> endobj 718 0 obj<>/TM(F[0].Page_3[0].licenseorrating1[0])/DA(/TimesNewRomanPSMT 11.00 Tf 0 g)/TU(enter license or rating)>> endobj 721 0 obj<>/TM(F[0].Page_3[0].licenseorrating2[0])/DA(/TimesNewRomanPSMT 11.00 Tf 0 g)/TU(enter license or rating)>> endobj 724 0 obj<>/N<>>>/AS/Off/StructParent 103/MK<>/TM(F[0].Page_3[0].noactive[0])/DA(/ZaDb 10.00 Tf 0 g)/TU(NO)>> endobj 725 0 obj<>/Subtype/Form/FormType 1/Matrix[1.0 0.0 0.0 1.0 0.0 0.0]>>stream q 1 1 8 8 re W n 2 8 m 8 2 l 8 8 m 2 2 l s Q endstream endobj 726 0 obj<>/Subtype/Form/FormType 1/Matrix[1.0 0.0 0.0 1.0 0.0 0.0]>>stream 0.749023 g 0 0 10 10 re f q 1 1 8 8 re W n 2 8 m 8 2 l 8 8 m 2 2 l s Q endstream endobj 727 0 obj<>/Subtype/Form/FormType 1/Matrix[1.0 0.0 0.0 1.0 0.0 0.0]>>stream 0.749023 g 0 0 10 10 re f endstream endobj 731 0 obj<>/N<>>>/AS/Off/StructParent 104/MK<>/TM(F[0].Page_3[0].yesactive[0])/DA(/ZaDb 10.00 Tf 0 g)/TU(YES)>> endobj 732 0 obj<>/Subtype/Form/FormType 1/Matrix[1.0 0.0 0.0 1.0 0.0 0.0]>>stream q 1 1 8 8 re W n 2 8 m 8 2 l 8 8 m 2 2 l s Q endstream endobj 733 0 obj<>/Subtype/Form/FormType 1/Matrix[1.0 0.0 0.0 1.0 0.0 0.0]>>stream 0.749023 g 0 0 10 10 re f q 1 1 8 8 re W n 2 8 m 8 2 l 8 8 m 2 2 l s Q endstream endobj 734 0 obj<>/Subtype/Form/FormType 1/Matrix[1.0 0.0 0.0 1.0 0.0 0.0]>>stream 0.749023 g 0 0 10 10 re f endstream endobj 738 0 obj<>/N<>>>/AS/Off/StructParent 105/MK<>/TM(F[0].Page_3[0].noterminal[0])/DA(/ZaDb 10.00 Tf 0 g)/TU(NO)>> endobj 739 0 obj<>/Subtype/Form/FormType 1/Matrix[1.0 0.0 0.0 1.0 0.0 0.0]>>stream q 1 1 8 8 re W n 2 8 m 8 2 l 8 8 m 2 2 l s Q endstream endobj 740 0 obj<>/Subtype/Form/FormType 1/Matrix[1.0 0.0 0.0 1.0 0.0 0.0]>>stream 0.749023 g 0 0 10 10 re f q 1 1 8 8 re W n 2 8 m 8 2 l 8 8 m 2 2 l s Q endstream endobj 741 0 obj<>/Subtype/Form/FormType 1/Matrix[1.0 0.0 0.0 1.0 0.0 0.0]>>stream 0.749023 g 0 0 10 10 re f endstream endobj 745 0 obj<>/N<>>>/AS/Off/StructParent 106/MK<>/TM(F[0].Page_3[0].yesterminal[0])/DA(/ZaDb 10.00 Tf 0 g)/TU(YES)>> endobj 746 0 obj<>/Subtype/Form/FormType 1/Matrix[1.0 0.0 0.0 1.0 0.0 0.0]>>stream q 1 1 8 8 re W n 2 8 m 8 2 l 8 8 m 2 2 l s Q endstream endobj 747 0 obj<>/Subtype/Form/FormType 1/Matrix[1.0 0.0 0.0 1.0 0.0 0.0]>>stream 0.749023 g 0 0 10 10 re f q 1 1 8 8 re W n 2 8 m 8 2 l 8 8 m 2 2 l s Q endstream endobj 748 0 obj<>/Subtype/Form/FormType 1/Matrix[1.0 0.0 0.0 1.0 0.0 0.0]>>stream 0.749023 g 0 0 10 10 re f endstream endobj 752 0 obj<>/TM(F[0].Page_3[0].Dateleavebegan[0])/DA(/TimesNewRomanPSMT 11.00 Tf 0 g)/TU(Date Leave Began. 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Date entered active duty. Enter 2-digit month, 2-digit day and 4-digit year. Line 1 of 5.)>> endobj 815 0 obj[814 0 R 819 0 R 822 0 R 825 0 R 828 0 R 831 0 R 834 0 R 837 0 R 840 0 R 843 0 R 846 0 R 849 0 R 852 0 R 855 0 R 858 0 R 861 0 R 864 0 R 869 0 R 872 0 R 875 0 R 878 0 R 885 0 R 892 0 R 899 0 R 906 0 R 913 0 R 920 0 R 927 0 R 934 0 R 941 0 R 948 0 R 951 0 R 954 0 R 957 0 R 960 0 R 963 0 R 970 0 R 977 0 R 984 0 R 991 0 R 994 0 R 997 0 R 1000 0 R 1003 0 R 1006 0 R 1009 0 R 1012 0 R 1015 0 R 1018 0 R 1023 0 R 1026 0 R 1029 0 R 1032 0 R 1035 0 R 1038 0 R 1041 0 R 1044 0 R 1047 0 R 1050 0 R 1053 0 R 1056 0 R 1059 0 R 1062 0 R 1065 0 R 1072 0 R 1079 0 R 1086 0 R] endobj 816 0 obj<> endobj 819 0 obj<>/TM(F[0].Page_4[0].activedutydate2[0])/DA(/TimesNewRomanPSMT 11.00 Tf 0 g)/TU(A. Date entered active duty. Enter 2-digit month, 2-digit day and 4-digit year. Line 2 of 5.)>> endobj 822 0 obj<>/TM(F[0].Page_4[0].activedutydate3[0])/DA(/TimesNewRomanPSMT 11.00 Tf 0 g)/TU(A. Date entered active duty. Enter 2-digit month, 2-digit day and 4-digit year. Line 3 of 5.)>> endobj 825 0 obj<>/TM(F[0].Page_4[0].activedutydate4[0])/DA(/TimesNewRomanPSMT 11.00 Tf 0 g)/TU(A. Date entered active duty. Enter 2-digit month, 2-digit day and 4-digit year. Line 4 of 5.)>> endobj 828 0 obj<>/TM(F[0].Page_4[0].activedutydate5[0])/DA(/TimesNewRomanPSMT 11.00 Tf 0 g)/TU(A. Date entered active duty. Enter 2-digit month, 2-digit day and 4-digit year. Line 5 of 5.)>> endobj 831 0 obj<>/TM(F[0].Page_4[0].Dateseperatedfromactive1[0])/DA(/TimesNewRomanPSMT 11.00 Tf 0 g)/TU(B. Date Separated from active duty. Enter 2-digit month, 2-digit day and 4-digit year.)>> endobj 834 0 obj<>/TM(F[0].Page_4[0].Dateseperatedfromactive2[0])/DA(/TimesNewRomanPSMT 11.00 Tf 0 g)/TU(B. Date Separated from active duty. Enter 2-digit month, 2-digit day and 4-digit year.)>> endobj 837 0 obj<>/TM(F[0].Page_4[0].Dateseperatedfromactive3[0])/DA(/TimesNewRomanPSMT 11.00 Tf 0 g)/TU(B. Date Separated from active duty. Enter 2-digit month, 2-digit day and 4-digit year.)>> endobj 840 0 obj<>/TM(F[0].Page_4[0].Dateseperatedfromactive4[0])/DA(/TimesNewRomanPSMT 11.00 Tf 0 g)/TU(B. Date Separated from active duty. Enter 2-digit month, 2-digit day and 4-digit year.)>> endobj 843 0 obj<>/TM(F[0].Page_4[0].Dateseperatedfromactive5[0])/DA(/TimesNewRomanPSMT 11.00 Tf 0 g)/TU(B. Date Separated from active duty. Enter 2-digit month, 2-digit day and 4-digit year.)>> endobj 846 0 obj<>/TM(F[0].Page_4[0].branchofservice1[0])/DA(/TimesNewRomanPSMT 11.00 Tf 0 g)/TU(C. Enter branch of service or reserve or guard component)>> endobj 849 0 obj<>/TM(F[0].Page_4[0].branchofservice2[0])/DA(/TimesNewRomanPSMT 11.00 Tf 0 g)/TU(C. Enter branch of service or reserve or guard component)>> endobj 852 0 obj<>/TM(F[0].Page_4[0].branchofservice3[0])/DA(/TimesNewRomanPSMT 11.00 Tf 0 g)/TU(C. Enter branch of service or reserve or guard component)>> endobj 855 0 obj<>/TM(F[0].Page_4[0].branchofservice4[0])/DA(/TimesNewRomanPSMT 11.00 Tf 0 g)/TU(C. Enter branch of service or reserve or guard component)>> endobj 858 0 obj<>/TM(F[0].Page_4[0].branchofservice5[0])/DA(/TimesNewRomanPSMT 11.00 Tf 0 g)/TU(C. Enter branch of service or reserve or guard component)>> endobj 861 0 obj<>/TM(F[0].Page_4[0].characterofdischarge1[0])/DA(/TimesNewRomanPSMT 11.00 Tf 0 g)/TU(D. Enter character of discharge)>> endobj 864 0 obj<>/TM(F[0].Page_4[0].characterofdischarge2[0])/DA(/TimesNewRomanPSMT 11.00 Tf 0 g)/TU(D. Enter character of discharge)>> endobj 869 0 obj<>/TM(F[0].Page_4[0].characterofdischarge3[0])/DA(/TimesNewRomanPSMT 11.00 Tf 0 g)/TU(D. Enter character of discharge)>> endobj 872 0 obj<>/TM(F[0].Page_4[0].characterofdischarge4[0])/DA(/TimesNewRomanPSMT 11.00 Tf 0 g)/TU(D. Enter character of discharge)>> endobj 875 0 obj<>/TM(F[0].Page_4[0].characterofdischarge5[0])/DA(/TimesNewRomanPSMT 11.00 Tf 0 g)/TU(D. Enter character of discharge)>> endobj 878 0 obj<>/N<>>>/AS/Off/StructParent 132/MK<>/TM(F[0].Page_4[0].no_active1[0])/DA(/ZaDb 10.00 Tf 0 g)/TU(NO)>> endobj 879 0 obj<>/Subtype/Form/FormType 1/Matrix[1.0 0.0 0.0 1.0 0.0 0.0]>>stream q 1 1 8 8 re W n 2 8 m 8 2 l 8 8 m 2 2 l s Q endstream endobj 880 0 obj<>/Subtype/Form/FormType 1/Matrix[1.0 0.0 0.0 1.0 0.0 0.0]>>stream 0.749023 g 0 0 10 10 re f q 1 1 8 8 re W n 2 8 m 8 2 l 8 8 m 2 2 l s Q endstream endobj 881 0 obj<>/Subtype/Form/FormType 1/Matrix[1.0 0.0 0.0 1.0 0.0 0.0]>>stream 0.749023 g 0 0 10 10 re f endstream endobj 885 0 obj<>/N<>>>/AS/Off/StructParent 133/MK<>/TM(F[0].Page_4[0].yes_active1[0])/DA(/ZaDb 10.00 Tf 0 g)/TU(YES)>> endobj 886 0 obj<>/Subtype/Form/FormType 1/Matrix[1.0 0.0 0.0 1.0 0.0 0.0]>>stream q 1 1 8 8 re W n 2 8 m 8 2 l 8 8 m 2 2 l s Q endstream endobj 887 0 obj<>/Subtype/Form/FormType 1/Matrix[1.0 0.0 0.0 1.0 0.0 0.0]>>stream 0.749023 g 0 0 10 10 re f q 1 1 8 8 re W n 2 8 m 8 2 l 8 8 m 2 2 l s Q endstream endobj 888 0 obj<>/Subtype/Form/FormType 1/Matrix[1.0 0.0 0.0 1.0 0.0 0.0]>>stream 0.749023 g 0 0 10 10 re f endstream endobj 892 0 obj<>/N<>>>/AS/Off/StructParent 134/MK<>/TM(F[0].Page_4[0].yes_active2[0])/DA(/ZaDb 10.00 Tf 0 g)/TU(YES)>> endobj 893 0 obj<>/Subtype/Form/FormType 1/Matrix[1.0 0.0 0.0 1.0 0.0 0.0]>>stream q 1 1 8 8 re W n 2 8 m 8 2 l 8 8 m 2 2 l s Q endstream endobj 894 0 obj<>/Subtype/Form/FormType 1/Matrix[1.0 0.0 0.0 1.0 0.0 0.0]>>stream 0.749023 g 0 0 10 10 re f q 1 1 8 8 re W n 2 8 m 8 2 l 8 8 m 2 2 l s Q endstream endobj 895 0 obj<>/Subtype/Form/FormType 1/Matrix[1.0 0.0 0.0 1.0 0.0 0.0]>>stream 0.749023 g 0 0 10 10 re f endstream endobj 899 0 obj<>/N<>>>/AS/Off/StructParent 135/MK<>/TM(F[0].Page_4[0].yes_active3[0])/DA(/ZaDb 10.00 Tf 0 g)/TU(YES)>> endobj 900 0 obj<>/Subtype/Form/FormType 1/Matrix[1.0 0.0 0.0 1.0 0.0 0.0]>>stream q 1 1 8 8 re W n 2 8 m 8 2 l 8 8 m 2 2 l s Q endstream endobj 901 0 obj<>/Subtype/Form/FormType 1/Matrix[1.0 0.0 0.0 1.0 0.0 0.0]>>stream 0.749023 g 0 0 10 10 re f q 1 1 8 8 re W n 2 8 m 8 2 l 8 8 m 2 2 l s Q endstream endobj 902 0 obj<>/Subtype/Form/FormType 1/Matrix[1.0 0.0 0.0 1.0 0.0 0.0]>>stream 0.749023 g 0 0 10 10 re f endstream endobj 906 0 obj<>/N<>>>/AS/Off/StructParent 136/MK<>/TM(F[0].Page_4[0].yes_active4[0])/DA(/ZaDb 10.00 Tf 0 g)/TU(YES)>> endobj 907 0 obj<>/Subtype/Form/FormType 1/Matrix[1.0 0.0 0.0 1.0 0.0 0.0]>>stream q 1 1 8 8 re W n 2 8 m 8 2 l 8 8 m 2 2 l s Q endstream endobj 908 0 obj<>/Subtype/Form/FormType 1/Matrix[1.0 0.0 0.0 1.0 0.0 0.0]>>stream 0.749023 g 0 0 10 10 re f q 1 1 8 8 re W n 2 8 m 8 2 l 8 8 m 2 2 l s Q endstream endobj 909 0 obj<>/Subtype/Form/FormType 1/Matrix[1.0 0.0 0.0 1.0 0.0 0.0]>>stream 0.749023 g 0 0 10 10 re f endstream endobj 913 0 obj<>/N<>>>/AS/Off/StructParent 137/MK<>/TM(F[0].Page_4[0].yes_active5[0])/DA(/ZaDb 10.00 Tf 0 g)/TU(YES)>> endobj 914 0 obj<>/Subtype/Form/FormType 1/Matrix[1.0 0.0 0.0 1.0 0.0 0.0]>>stream q 1 1 8 8 re W n 2 8 m 8 2 l 8 8 m 2 2 l s Q endstream endobj 915 0 obj<>/Subtype/Form/FormType 1/Matrix[1.0 0.0 0.0 1.0 0.0 0.0]>>stream 0.749023 g 0 0 10 10 re f q 1 1 8 8 re W n 2 8 m 8 2 l 8 8 m 2 2 l s Q endstream endobj 916 0 obj<>/Subtype/Form/FormType 1/Matrix[1.0 0.0 0.0 1.0 0.0 0.0]>>stream 0.749023 g 0 0 10 10 re f endstream endobj 920 0 obj<>/N<>>>/AS/Off/StructParent 138/MK<>/TM(F[0].Page_4[0].no_active2[0])/DA(/ZaDb 10.00 Tf 0 g)/TU(NO)>> endobj 921 0 obj<>/Subtype/Form/FormType 1/Matrix[1.0 0.0 0.0 1.0 0.0 0.0]>>stream q 1 1 8 8 re W n 2 8 m 8 2 l 8 8 m 2 2 l s Q endstream endobj 922 0 obj<>/Subtype/Form/FormType 1/Matrix[1.0 0.0 0.0 1.0 0.0 0.0]>>stream 0.749023 g 0 0 10 10 re f q 1 1 8 8 re W n 2 8 m 8 2 l 8 8 m 2 2 l s Q endstream endobj 923 0 obj<>/Subtype/Form/FormType 1/Matrix[1.0 0.0 0.0 1.0 0.0 0.0]>>stream 0.749023 g 0 0 10 10 re f endstream endobj 927 0 obj<>/N<>>>/AS/Off/StructParent 139/MK<>/TM(F[0].Page_4[0].no_active3[0])/DA(/ZaDb 10.00 Tf 0 g)/TU(NO)>> endobj 928 0 obj<>/Subtype/Form/FormType 1/Matrix[1.0 0.0 0.0 1.0 0.0 0.0]>>stream q 1 1 8 8 re W n 2 8 m 8 2 l 8 8 m 2 2 l s Q endstream endobj 929 0 obj<>/Subtype/Form/FormType 1/Matrix[1.0 0.0 0.0 1.0 0.0 0.0]>>stream 0.749023 g 0 0 10 10 re f q 1 1 8 8 re W n 2 8 m 8 2 l 8 8 m 2 2 l s Q endstream endobj 930 0 obj<>/Subtype/Form/FormType 1/Matrix[1.0 0.0 0.0 1.0 0.0 0.0]>>stream 0.749023 g 0 0 10 10 re f endstream endobj 934 0 obj<>/N<>>>/AS/Off/StructParent 140/MK<>/TM(F[0].Page_4[0].no_active4[0])/DA(/ZaDb 10.00 Tf 0 g)/TU(NO)>> endobj 935 0 obj<>/Subtype/Form/FormType 1/Matrix[1.0 0.0 0.0 1.0 0.0 0.0]>>stream q 1 1 8 8 re W n 2 8 m 8 2 l 8 8 m 2 2 l s Q endstream endobj 936 0 obj<>/Subtype/Form/FormType 1/Matrix[1.0 0.0 0.0 1.0 0.0 0.0]>>stream 0.749023 g 0 0 10 10 re f q 1 1 8 8 re W n 2 8 m 8 2 l 8 8 m 2 2 l s Q endstream endobj 937 0 obj<>/Subtype/Form/FormType 1/Matrix[1.0 0.0 0.0 1.0 0.0 0.0]>>stream 0.749023 g 0 0 10 10 re f endstream endobj 941 0 obj<>/N<>>>/AS/Off/StructParent 141/MK<>/TM(F[0].Page_4[0].no_active5[0])/DA(/ZaDb 10.00 Tf 0 g)/TU(NO)>> endobj 942 0 obj<>/Subtype/Form/FormType 1/Matrix[1.0 0.0 0.0 1.0 0.0 0.0]>>stream q 1 1 8 8 re W n 2 8 m 8 2 l 8 8 m 2 2 l s Q endstream endobj 943 0 obj<>/Subtype/Form/FormType 1/Matrix[1.0 0.0 0.0 1.0 0.0 0.0]>>stream 0.749023 g 0 0 10 10 re f q 1 1 8 8 re W n 2 8 m 8 2 l 8 8 m 2 2 l s Q endstream endobj 944 0 obj<>/Subtype/Form/FormType 1/Matrix[1.0 0.0 0.0 1.0 0.0 0.0]>>stream 0.749023 g 0 0 10 10 re f endstream endobj 948 0 obj<>/TM(F[0].Page_4[0].nationalguard1[0])/DA(/TimesNewRomanPSMT 11.00 Tf 0 g)/TU(F. IF THIS ACTIVE DUTY IS NATIONAL GUARD DUTY, INDICATE IF AUTHORITY IS TITLE 10 \(Federal\) OR TITLE 32 \(State\). \(Send copies of any orders\))>> endobj 951 0 obj<>/TM(F[0].Page_4[0].nationalguard2[0])/DA(/TimesNewRomanPSMT 11.00 Tf 0 g)/TU(F. IF THIS ACTIVE DUTY IS NATIONAL GUARD DUTY, INDICATE IF AUTHORITY IS TITLE 10 \(Federal\) OR TITLE 32 \(State\). \(Send copies of any orders\))>> endobj 954 0 obj<>/TM(F[0].Page_4[0].nationalguard3[0])/DA(/TimesNewRomanPSMT 11.00 Tf 0 g)/TU(F. IF THIS ACTIVE DUTY IS NATIONAL GUARD DUTY, INDICATE IF AUTHORITY IS TITLE 10 \(Federal\) OR TITLE 32 \(State\). \(Send copies of any orders\))>> endobj 957 0 obj<>/TM(F[0].Page_4[0].nationalguard4[0])/DA(/TimesNewRomanPSMT 11.00 Tf 0 g)/TU(F. IF THIS ACTIVE DUTY IS NATIONAL GUARD DUTY, INDICATE IF AUTHORITY IS TITLE 10 \(Federal\) OR TITLE 32 \(State\). \(Send copies of any orders\))>> endobj 960 0 obj<>/TM(F[0].Page_4[0].nationalguard5[0])/DA(/TimesNewRomanPSMT 11.00 Tf 0 g)/TU(F. IF THIS ACTIVE DUTY IS NATIONAL GUARD DUTY, INDICATE IF AUTHORITY IS TITLE 10 \(Federal\) OR TITLE 32 \(State\). \(Send copies of any orders\))>> endobj 963 0 obj<>/N<>>>/AS/Off/StructParent 147/MK<>/TM(F[0].Page_4[0].no_15[0])/DA(/ZaDb 10.00 Tf 0 g)/TU(NO)>> endobj 964 0 obj<>/Subtype/Form/FormType 1/Matrix[1.0 0.0 0.0 1.0 0.0 0.0]>>stream q 1 1 8 8 re W n 2 8 m 8 2 l 8 8 m 2 2 l s Q endstream endobj 965 0 obj<>/Subtype/Form/FormType 1/Matrix[1.0 0.0 0.0 1.0 0.0 0.0]>>stream 0.749023 g 0 0 10 10 re f q 1 1 8 8 re W n 2 8 m 8 2 l 8 8 m 2 2 l s Q endstream endobj 966 0 obj<>/Subtype/Form/FormType 1/Matrix[1.0 0.0 0.0 1.0 0.0 0.0]>>stream 0.749023 g 0 0 10 10 re f endstream endobj 970 0 obj<>/N<>>>/AS/Off/StructParent 148/MK<>/TM(F[0].Page_4[0].yes_15[0])/DA(/ZaDb 10.00 Tf 0 g)/TU(YES)>> endobj 971 0 obj<>/Subtype/Form/FormType 1/Matrix[1.0 0.0 0.0 1.0 0.0 0.0]>>stream q 1 1 8 8 re W n 2 8 m 8 2 l 8 8 m 2 2 l s Q endstream endobj 972 0 obj<>/Subtype/Form/FormType 1/Matrix[1.0 0.0 0.0 1.0 0.0 0.0]>>stream 0.749023 g 0 0 10 10 re f q 1 1 8 8 re W n 2 8 m 8 2 l 8 8 m 2 2 l s Q endstream endobj 973 0 obj<>/Subtype/Form/FormType 1/Matrix[1.0 0.0 0.0 1.0 0.0 0.0]>>stream 0.749023 g 0 0 10 10 re f endstream endobj 977 0 obj<>/N<>>>/AS/Off/StructParent 149/MK<>/TM(F[0].Page_4[0].no_reserve[0])/DA(/ZaDb 10.00 Tf 0 g)/TU(NO)>> endobj 978 0 obj<>/Subtype/Form/FormType 1/Matrix[1.0 0.0 0.0 1.0 0.0 0.0]>>stream q 1 1 8 8 re W n 2 8 m 8 2 l 8 8 m 2 2 l s Q endstream endobj 979 0 obj<>/Subtype/Form/FormType 1/Matrix[1.0 0.0 0.0 1.0 0.0 0.0]>>stream 0.749023 g 0 0 10 10 re f q 1 1 8 8 re W n 2 8 m 8 2 l 8 8 m 2 2 l s Q endstream endobj 980 0 obj<>/Subtype/Form/FormType 1/Matrix[1.0 0.0 0.0 1.0 0.0 0.0]>>stream 0.749023 g 0 0 10 10 re f endstream endobj 984 0 obj<>/N<>>>/AS/Off/StructParent 150/MK<>/TM(F[0].Page_4[0].yes_reserve[0])/DA(/ZaDb 10.00 Tf 0 g)/TU(YES)>> endobj 985 0 obj<>/Subtype/Form/FormType 1/Matrix[1.0 0.0 0.0 1.0 0.0 0.0]>>stream q 1 1 8 8 re W n 2 8 m 8 2 l 8 8 m 2 2 l s Q endstream endobj 986 0 obj<>/Subtype/Form/FormType 1/Matrix[1.0 0.0 0.0 1.0 0.0 0.0]>>stream 0.749023 g 0 0 10 10 re f q 1 1 8 8 re W n 2 8 m 8 2 l 8 8 m 2 2 l s Q endstream endobj 987 0 obj<>/Subtype/Form/FormType 1/Matrix[1.0 0.0 0.0 1.0 0.0 0.0]>>stream 0.749023 g 0 0 10 10 re f endstream endobj 991 0 obj<>/TM(F[0].Page_4[0].reserveorguarddate1[0])/DA(/TimesNewRomanPSMT 11.00 Tf 0 g)/TU(B. Date entered reserve or guard. Enter 2-digit month, 2-digit day and 4-digit year.)>> endobj 994 0 obj<>/TM(F[0].Page_4[0].reserveorguarddate2[0])/DA(/TimesNewRomanPSMT 11.00 Tf 0 g)/TU(B. Date entered reserve or guard. Enter 2-digit month, 2-digit day and 4-digit year.)>> endobj 997 0 obj<>/TM(F[0].Page_4[0].reserveorguarddate3[0])/DA(/TimesNewRomanPSMT 11.00 Tf 0 g)/TU(B. Date entered reserve or guard. Enter 2-digit month, 2-digit day and 4-digit year.)>> endobj 1000 0 obj<>/TM(F[0].Page_4[0].reserveorguarddate4[0])/DA(/TimesNewRomanPSMT 11.00 Tf 0 g)/TU(B. Date entered reserve or guard. Enter 2-digit month, 2-digit day and 4-digit year.)>> endobj 1003 0 obj<>/TM(F[0].Page_4[0].reserveorguarddate5[0])/DA(/TimesNewRomanPSMT 11.00 Tf 0 g)/TU(B. Date entered reserve or guard. Enter 2-digit month, 2-digit day and 4-digit year.)>> endobj 1006 0 obj<>/TM(F[0].Page_4[0].reserveorguarddate6[0])/DA(/TimesNewRomanPSMT 11.00 Tf 0 g)/TU(B. Date entered reserve or guard. Enter 2-digit month, 2-digit day and 4-digit year.)>> endobj 1009 0 obj<>/TM(F[0].Page_4[0].dateseparated1[0])/DA(/TimesNewRomanPSMT 11.00 Tf 0 g)/TU(C. Date separated from reserve or guard \(if applicable\) Enter 2-digit month, 2-digit day and 4-digit year.)>> endobj 1012 0 obj<>/TM(F[0].Page_4[0].dateseparated2[0])/DA(/TimesNewRomanPSMT 11.00 Tf 0 g)/TU(C. Date separated from reserve or guard \(if applicable\) Enter 2-digit month, 2-digit day and 4-digit year.)>> endobj 1015 0 obj<>/TM(F[0].Page_4[0].dateseparated3[0])/DA(/TimesNewRomanPSMT 11.00 Tf 0 g)/TU(C. Date separated from reserve or guard \(if applicable\) Enter 2-digit month, 2-digit day and 4-digit year.)>> endobj 1018 0 obj<>/TM(F[0].Page_4[0].dateseparated4[0])/DA(/TimesNewRomanPSMT 11.00 Tf 0 g)/TU(C. Date separated from reserve or guard \(if applicable\) Enter 2-digit month, 2-digit day and 4-digit year.)>> endobj 1023 0 obj<>/TM(F[0].Page_4[0].dateseparated5[0])/DA(/TimesNewRomanPSMT 11.00 Tf 0 g)/TU(C. Date separated from reserve or guard \(if applicable\) Enter 2-digit month, 2-digit day and 4-digit year.)>> endobj 1026 0 obj<>/TM(F[0].Page_4[0].dateseparated6[0])/DA(/TimesNewRomanPSMT 11.00 Tf 0 g)/TU(C. Date separated from reserve or guard \(if applicable\) Enter 2-digit month, 2-digit day and 4-digit year.)>> endobj 1029 0 obj<>/TM(F[0].Page_4[0].reservecomponent1[0])/DA(/TimesNewRomanPSMT 11.00 Tf 0 g)/TU(D. Enter reserve or guard component)>> endobj 1032 0 obj<>/TM(F[0].Page_4[0].reservecomponent2[0])/DA(/TimesNewRomanPSMT 11.00 Tf 0 g)/TU(D. Enter reserve or guard component)>> endobj 1035 0 obj<>/TM(F[0].Page_4[0].reservecomponent3[0])/DA(/TimesNewRomanPSMT 11.00 Tf 0 g)/TU(D. Enter reserve or guard component)>> endobj 1038 0 obj<>/TM(F[0].Page_4[0].reservecomponent4[0])/DA(/TimesNewRomanPSMT 11.00 Tf 0 g)/TU(D. Enter reserve or guard component)>> endobj 1041 0 obj<>/TM(F[0].Page_4[0].reservecomponent5[0])/DA(/TimesNewRomanPSMT 11.00 Tf 0 g)/TU(D. Enter reserve or guard component)>> endobj 1044 0 obj<>/TM(F[0].Page_4[0].reservecomponent6[0])/DA(/TimesNewRomanPSMT 11.00 Tf 0 g)/TU(D. Enter reserve or guard component)>> endobj 1047 0 obj<>/TM(F[0].Page_4[0].reservestatus1[0])/DA(/TimesNewRomanPSMT 11.00 Tf 0 g)/TU(E. Enter RESERVE STATUS \(See abbreviations above\))>> endobj 1050 0 obj<>/TM(F[0].Page_4[0].reservestatus2[0])/DA(/TimesNewRomanPSMT 11.00 Tf 0 g)/TU(E. Enter RESERVE STATUS \(See abbreviations above\))>> endobj 1053 0 obj<>/TM(F[0].Page_4[0].reservestatus3[0])/DA(/TimesNewRomanPSMT 11.00 Tf 0 g)/TU(E. Enter RESERVE STATUS \(See abbreviations above\))>> endobj 1056 0 obj<>/TM(F[0].Page_4[0].reservestatus4[0])/DA(/TimesNewRomanPSMT 11.00 Tf 0 g)/TU(E. Enter RESERVE STATUS \(See abbreviations above\))>> endobj 1059 0 obj<>/TM(F[0].Page_4[0].reservestatus5[0])/DA(/TimesNewRomanPSMT 11.00 Tf 0 g)/TU(E. Enter RESERVE STATUS \(See abbreviations above\))>> endobj 1062 0 obj<>/TM(F[0].Page_4[0].reservestatus6[0])/DA(/TimesNewRomanPSMT 11.00 Tf 0 g)/TU(E. Enter RESERVE STATUS \(See abbreviations above\))>> endobj 1065 0 obj<>/N<>>>/AS/Off/StructParent 175/MK<>/TM(F[0].Page_4[0].no_f[0])/DA(/ZaDb 10.00 Tf 0 g)/TU(NO)>> endobj 1066 0 obj<>/Subtype/Form/FormType 1/Matrix[1.0 0.0 0.0 1.0 0.0 0.0]>>stream q 1 1 8 8 re W n 2 8 m 8 2 l 8 8 m 2 2 l s Q endstream endobj 1067 0 obj<>/Subtype/Form/FormType 1/Matrix[1.0 0.0 0.0 1.0 0.0 0.0]>>stream 0.749023 g 0 0 10 10 re f q 1 1 8 8 re W n 2 8 m 8 2 l 8 8 m 2 2 l s Q endstream endobj 1068 0 obj<>/Subtype/Form/FormType 1/Matrix[1.0 0.0 0.0 1.0 0.0 0.0]>>stream 0.749023 g 0 0 10 10 re f endstream endobj 1072 0 obj<>/N<>>>/AS/Off/StructParent 176/MK<>/TM(F[0].Page_4[0].yes_f[0])/DA(/ZaDb 10.00 Tf 0 g)/TU(YES)>> endobj 1073 0 obj<>/Subtype/Form/FormType 1/Matrix[1.0 0.0 0.0 1.0 0.0 0.0]>>stream q 1 1 8 8 re W n 2 8 m 8 2 l 8 8 m 2 2 l s Q endstream endobj 1074 0 obj<>/Subtype/Form/FormType 1/Matrix[1.0 0.0 0.0 1.0 0.0 0.0]>>stream 0.749023 g 0 0 10 10 re f q 1 1 8 8 re W n 2 8 m 8 2 l 8 8 m 2 2 l s Q 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