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CAUTI <br />BE USED <br />nPNTiFICANIpON P RPOSFS FOR THP 1;IS WANSAFEGUARD IT RECiSRD AREAS RENDER FORM VOIDED <br />DDFORM 2� A PREVIOUS EDITIONS OF THIS CERTIFICATE OF RELEASE OR DISCHARGE <br />I JUL 79 L 4 FORM ARE OBSOLETE. FROM ACTIVE DUTY <br />IL NAME(Last, first, middle) <br />BANKS', HAXTJS H A T <br />2. DEPARTMENT, COMPONENT AND BRANCH <br />Ati�9Y� <br />3. SOCIAL SECURITY NO, <br />549 25 3756 <br />da. GRADE RATEORRANK Ab. PAY GRADE <br />YPl E-1 <br />5. DATE OF BIRTH <br />610704 <br />6. PLACE OF ENTRY INTO ACTIVE DUTY <br />Fresno, CA <br />7. LAST DUTY ASSIGNMENT AND MAJOR COMMAND iii <br />Co A 6th Bn (0S'UT) 1st sm UaABCSm nLADOC <br />S. STATION WHERE SEPARATED <br />Fort Gordon, CA <br />99sa. COMMAND TO WHICH TRANSFERRED <br />NA <br />10. SGU COVERAGE <br />I AMOUNTS in ODO 11 NONE <br />11. PRIMARY SPECIALTY NUMBER, TITLE AND YEARS AND <br />MONTHS IN SPECIALTY (Addd:ional specially numbers and t&les <br />btvolving periods of one or more yeah) <br />12. RECORD OF SERYICE. YEAR (e) MON (s) DAY (S) <br />a Dote Eel.red AD This Period P <br />b. SeParollon Dole This Period _ 05} � 04 <br />36K00 Basic Trainee <br />C Net Active Service This Period 0 - <br />3 <br />d. Total Prbr Adlee S.rvice 00 00 00 <br />— <br />6 Total Prior Inodlra Sell- 00 03 2Z <br />L Forelp S.rvke 00 00 00 <br />IT. Seo Sorvke 00 00 <br />IL EHedi.e Data of Pay Grade • 8l: 01 27 <br />L Rn.rve Obb l,. Term. Dote 00 017. 00 <br />13. DECORATIONS, MEDALS, BADGES, CITATIONS AND CAMPAIGN RIBBONS AWARDED OR AUTHORIZED (Allperiods of $e ice) <br />Marksman (Pu.fl.e); Expert (Hand. Grenade) <br />d.. MILITARY EDUCATION (Corpse Tkk member works, and month and year completed) <br />14.A <br />NA. <br />15. MEMBER CONTRIBUTED TO POSTNIETNAM ERA <br />VETERANS' EDUCATIONAL ASSISTANCE PROGRAM❑ YES ®NO <br />16. HIGH SCHOOL GRADUATE OR EOUNALENT <br />©YES NO <br />17. DAYS ACCRUED <br />LEAVE PAID v7 <br />IB. REMARKS - <br />NA <br />19. MAILING ADDRESS AFTER' SEPARATION <br />��Whalher <br />S't OC�itor4 gA, 952/0 <br />20. MEMBER REQUESTS COPY 6 BE <br />SENTTO CA. DIR. OF VET <br />ArF*19S ElYES DNO <br />21. SIGNATURE OFMEMBER BEING SEPARAg Q <br />��i/ ��,�.�,�� <br />1"L4j4� �, Y% <br />22. TYPED NAME. GRADE, IULF&. Ows)GucTURE OFF.IC l ' <br />AUTHORIZED TO �i t.0 <br />Z.-: Est MG, GH :t_^^.^ PTnommmmummumw <br />ase <br />23. TYPE OF <br />OF SERVICr-f*CTades upgrades) <br />REENUS'TMENT CODE <br />