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% REQUEST FOR WAIVER OF Dis?’ FICATION FOR ENLISTMENT /RE ENLISTML « iN THE REGULAR ARMY FOR cRSONNEL APPLYING FROM CIVILLAN LIFE so * (AR su1-21) “ * (USE REMARKS SECTION FOR EXPANSION OF ITEMS IF NECESSARY) rm pon . ROM: * " hs oameuneidal Commander * wATE 31 May 1973 DISQUALIFICATION vA RE CODE a , USAGES r 7700 Pago Blvd. 20 Main Street, Rn, 8003 JORADE DETR | 4A Ue Louis, 20 63132 Cincinnati, ON 45202 “Sivamaen 1. LAaST NAME - Fins tT NAME MIDDLE PAET he 2. TITLE AND PAY GRADE CURRENT (Res) MATIA WILLIAM R, NA 4. HOME ACCRESS aT SEPARATION RR#1 NEW MADISON, (DAS) oto SGT E-5 ° L45386 aT LAST ENTRY {Pve. pe4 2578493 5. DATE SOF GIN TH — eee PLANK 7. BRANCH OF ARMED FORCES FROM WHIER Las? SEPARATED 25 JUNL. §4 ft 1 ME 72 U.S.N.C, u FORMER Mos / > GaTE OF ENTR ¥ OM LAST FERICO oF ACT E sERVICE 10. TERM OF Last PERIOD OF SERVICE (Fears) FRiMAeEN 3371 _Fortss BE Cts is dk bey 354 LaST DISCHARGE APTITUDE ARES SCORES : : vi aFOT & D 063 11T TOTAL YEARS COMPLETED H.S. GRAD, Hh 4OnckasLe ~ GENEVAL ENDER HONOR 2SLE COND TiGKs ACH OP AGE PAD Don oye Gare EL? JULY 72 NOES eo J DISHONORAGLE WO ar & DATE OF RETEST SUB Par 6012 | 14 May 73 4. CWVILIAN EDUCATION frears and type completed since taer diacharge } NUMBER AND AGE OF DEPENDENTS , CHILDREN OTHER a a Vy. U. @, GI TIEENSHIP AT SEPARA Tinin DATE MARIE D * Nos 4 L_ NO (Ef “Wor ézploin in remarke) NONE fa. RESERVE OBLIGE TION 5 ves 20. RESIOENCE OF DEP EN f(Dependency waiver, only} DENTS iF WAIVER APPROVED (With awiatives of otherwiae « dnc lode eddreaz) Co No NA CAutre* ant Sor ate --s coe . TIME LOST DURING PRIOR SERVICE