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before completing this form). 1. NAME (Last, First, Middle ... INSTRUCTIONS. Items 1 through 15 and 20 ... 23. 24. ADDITIONAL DATA. DD FORM 1833, FEB 84.
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(mm/dd/yyyy). A ... This form is submitted in connection with an application for: ... (hearing impaired) call: 1-800-767-1833. Form ... 15 minutes per response, including the time for reviewing instructions