World War II Separation Notices: U.S. Marine Corps

U.S. MARINE CORPS REPORT OF SEPARATION

NAVMC 78-PD

Last Name: CALROW

Suffix:

First Name: CHARLES

Middle Names: JAMES

Rank: Cpl/Corp

Pay Grade: 5

Serial Number: 359800

Permanent Address: 1108 Buckingham Park, Norfolk, Va.

Race: W

Sex: M

Citizen: Yes

Date of Birth: 1920-03-09

Address for Employment: 1108 Buckingham Park, Norfolk, Va.

Married: No

No. of Dep.: None

Place of Birth: Norfolk, Va.

RECORD OF MARINE CORPS SERVICE

Selective Service Data

Registered: No

Address at Entry into Service: 1047Hanover Ave., Norfolk, Va.

Sel. Ser. Bd. No.: UNK

Sel. Ser. Bd. County & State: Norfolk, Va.

Means of Entry (1): Enlisted

Means of Entry (2):

Place of Entry into Active Service: Portsmouth, Va.

Date of Entry: 1941-12-31

Component REG.: x

Component RES.:

Pension Claim Filed: No

Place of Separation: Camp Lejeune, N.C.

Date of Separation: 1946-01-31

Org. at Separation: SepBn.

Type of Discharge: HONORABLE

Foreign/Sea Service Years: 2

Foreign/Sea Service Months: 3

Foreign/Sea Service Days: 8

Military Specialties : Lt. AA. F.C. Man 594; Mail Clerk 056

Service Schools Attended:

Service School Courses:

Service School Weeks:

Principal Military Duty and No.: 594 Light Antiaircraft Fire Control Man

Notes:

EMPLOYMENT AND NON-SERVICE EDUCATIONAL DATA

(1) Civilian Occupation: Mail Clerk

(1) Civilian Occupation No.: 1-18

(1) Civilian Occupation No. Yrs.: 1

(1) Civilian Occupation Last Employed Date: 1941-12-20

(1) Civilian Occupation Summary: Prepared in coming mail for distribution and outgoing mail for posting. Received, sorted and distributed incoming and outgoing mail. Kept accurate records.

(2) Civilian Occupation:

(2) Civilian Occupation No.:

(2) Civilian Occupation No. Yrs.:

(2) Civilian Occupation Last Employed Date:

Last Employer Name: City of Norfolk, Va.

Last Employer Address:

Date Left Last Employer: 1941-12-20

Job Aid Desired: No

Non-Service Education

Grammar Years: 8

High School Years: 4

College Years:

Degree:

Major Courses: Acad.

Trade Courses: Mech Dr. 1/2

Courses of Greatest Interest: Math.

Last School Attended: Mawry HS '39 Norfolk, Va.

PREFERENCES

Preference for Additional Training : Plans to complete education

Job Preference: Student 0-X

Job Preference Reason: To complete education

Locality Preference: Norfolk, Va.

Locality Preference Reason: Home.

Name and Rank of Discharging Officer: JAMES DUNN, 2dlt., USMCR

Date Signed by Discharged Person: 1946-01-31

U.S. MARINE CORPS REPORT OF SEPARATION

NAVMC 78-PD

Last Name: Calsetta

Suffix:

First Name: Blair

Middle Names: Francis Joseph

Rank: Cpl/Corp

Pay Grade: 5

Serial Number: 891222

Permanent Address: 1331 N Irving St, Arlington, Va

Race: W

Sex: M

Citizen: Yes

Date of Birth: 1924-09-09

Address for Employment: 1331 N Irving St, Arlington, Va

Married: Yes

No. of Dep.: 1

Place of Birth: Hartford, Conn

RECORD OF MARINE CORPS SERVICE

Selective Service Data

Registered: Yes

Address at Entry into Service: 51 Laurel St, Hartford, Conn

Sel. Ser. Bd. No.:

Sel. Ser. Bd. County & State: Hartford, Conn

Means of Entry (1): Enlisted

Means of Entry (2): Inducted

Place of Entry into Active Service: Springfield, Mass

Date of Entry: 1943-08-07

Component REG.:

Component RES.: III

Pension Claim Filed: No

Place of Separation: M B Bainbridge, Md

Date of Separation: 1946-03-02

Org. at Separation: Sep Ce

Type of Discharge: Honorable

Foreign/Sea Service Years: 1

Foreign/Sea Service Months: 2

Foreign/Sea Service Days:

Military Specialties : Carpenter, General 050

Service Schools Attended:

Service School Courses:

Service School Weeks:

Principal Military Duty and No.: 050 Carpenter, General

Notes:

EMPLOYMENT AND NON-SERVICE EDUCATIONAL DATA

(1) Civilian Occupation: Stock Clerk

(1) Civilian Occupation No.: 1-38

(1) Civilian Occupation No. Yrs.: 0

(1) Civilian Occupation Last Employed Date: 1943-08-03

(1) Civilian Occupation Summary: Received, Stacked and issued tools, did simple bookkeeping.

(2) Civilian Occupation:

(2) Civilian Occupation No.:

(2) Civilian Occupation No. Yrs.:

(2) Civilian Occupation Last Employed Date:

Last Employer Name:

Last Employer Address:

Date Left Last Employer:

Job Aid Desired:

Non-Service Education

Grammar Years:

High School Years:

College Years:

Degree:

Major Courses:

Trade Courses:

Courses of Greatest Interest:

Last School Attended:

PREFERENCES

Preference for Additional Training :

Job Preference:

Job Preference Reason:

Locality Preference:

Locality Preference Reason:

Name and Rank of Discharging Officer:

Date Signed by Discharged Person:

U.S. MARINE CORPS REPORT OF SEPARATION

NAVMC 78-PD

Last Name: Cambden

Suffix:

First Name: Loyd

Middle Names: Andrew

Rank: Pvt

Pay Grade: 7

Serial Number: 1024279

Permanent Address: Glasgow, Virginia R FD#1

Race: W

Sex: M

Citizen: Yes

Date of Birth: 1927-09-03

Address for Employment: Glasgow, Virginia RFD #1

Married: No

No. of Dep.:

Place of Birth: Glasgow, Virginia

RECORD OF MARINE CORPS SERVICE

Selective Service Data

Registered: Yes

Address at Entry into Service: Richmond, Virginia

Sel. Ser. Bd. No.:

Sel. Ser. Bd. County & State: Levington

Means of Entry (1): Enlisted

Means of Entry (2): Inducted

Place of Entry into Active Service: Richmond, Virginia

Date of Entry: 1945-11-30

Component REG.: SS

Component RES.:

Pension Claim Filed: No

Place of Separation: MB Quantico, Virginia

Date of Separation: 1946-10-23

Org. at Separation: CAS Co

Type of Discharge: Under Honorable Conditions

Foreign/Sea Service Years:

Foreign/Sea Service Months: 6

Foreign/Sea Service Days: 16

Military Specialties : Guard Patrolman (522)

Service Schools Attended:

Service School Courses:

Service School Weeks:

Principal Military Duty and No.: 522 Duty Soldier I, Guard

Notes:

EMPLOYMENT AND NON-SERVICE EDUCATIONAL DATA

(1) Civilian Occupation: Truck Driver

(1) Civilian Occupation No.: 7-36

(1) Civilian Occupation No. Yrs.:

(1) Civilian Occupation Last Employed Date: 1945-10-30

(1) Civilian Occupation Summary: Truck driver short distance

(2) Civilian Occupation:

(2) Civilian Occupation No.:

(2) Civilian Occupation No. Yrs.:

(2) Civilian Occupation Last Employed Date:

Last Employer Name: Lone Jack Quarry Co, Glasgow, Virginia

Last Employer Address:

Date Left Last Employer:

Job Aid Desired: Yes

Non-Service Education

Grammar Years: 6

High School Years:

College Years:

Degree:

Major Courses: Elementary

Trade Courses:

Courses of Greatest Interest: English

Last School Attended: Glasgow, Virginia

PREFERENCES

Preference for Additional Training :

Job Preference: Undecided

Job Preference Reason:

Locality Preference: Virginia

Locality Preference Reason:

Name and Rank of Discharging Officer: F S Wood 2 d t

Date Signed by Discharged Person:

U.S. MARINE CORPS REPORT OF SEPARATION

NAVMC 78-PD

Last Name:

Suffix:

First Name:

Middle Names:

Rank:

Pay Grade:

Serial Number:

Permanent Address:

Race:

Sex:

Citizen:

Date of Birth:

Address for Employment:

Married:

No. of Dep.:

Place of Birth:

RECORD OF MARINE CORPS SERVICE

Selective Service Data

Registered:

Address at Entry into Service:

Sel. Ser. Bd. No.:

Sel. Ser. Bd. County & State:

Means of Entry (1):

Means of Entry (2):

Place of Entry into Active Service:

Date of Entry:

Component REG.:

Component RES.:

Pension Claim Filed:

Place of Separation:

Date of Separation:

Org. at Separation:

Type of Discharge:

Foreign/Sea Service Years:

Foreign/Sea Service Months:

Foreign/Sea Service Days:

Military Specialties :

Service Schools Attended:

Service School Courses:

Service School Weeks:

Principal Military Duty and No.:

Notes:

EMPLOYMENT AND NON-SERVICE EDUCATIONAL DATA

(1) Civilian Occupation:

(1) Civilian Occupation No.:

(1) Civilian Occupation No. Yrs.:

(1) Civilian Occupation Last Employed Date:

(1) Civilian Occupation Summary:

(2) Civilian Occupation:

(2) Civilian Occupation No.:

(2) Civilian Occupation No. Yrs.:

(2) Civilian Occupation Last Employed Date:

Last Employer Name:

Last Employer Address:

Date Left Last Employer:

Job Aid Desired:

Non-Service Education

Grammar Years:

High School Years:

College Years:

Degree:

Major Courses:

Trade Courses:

Courses of Greatest Interest:

Last School Attended:

PREFERENCES

Preference for Additional Training :

Job Preference:

Job Preference Reason:

Locality Preference:

Locality Preference Reason:

Name and Rank of Discharging Officer:

Date Signed by Discharged Person:

U.S. MARINE CORPS REPORT OF SEPARATION

NAVMC 78-PD

Last Name: Campbell

Suffix:

First Name: Albert

Middle Names: Marion

Rank: Pfc

Pay Grade: 6

Serial Number: 222499

Permanent Address: 1528 Franklin Rd. Roanoke, Va.

Race: W

Sex: M

Citizen: Yes

Date of Birth: 1910-10-06

Address for Employment: 1528 Franklin Rd. Roanoke, Va.

Married: Yes

No. of Dep.: 2

Place of Birth: Unk., Roanoke, Va.

RECORD OF MARINE CORPS SERVICE

Selective Service Data

Registered: Yes

Address at Entry into Service: 1528 Franklin Rd. Roanoke, Va.

Sel. Ser. Bd. No.: Unk.

Sel. Ser. Bd. County & State: Roanoke, Va.

Means of Entry (1): Enlisted

Means of Entry (2):

Place of Entry into Active Service: Richmond, Va.

Date of Entry: 1943-11-13

Component REG.:

Component RES.: IIIb

Pension Claim Filed: No

Place of Separation: M.B. Bainbridge, Md.

Date of Separation: 1946-01-11

Org. at Separation: Sep. Co.

Type of Discharge: Honorable

Foreign/Sea Service Years: 1

Foreign/Sea Service Months: 9

Foreign/Sea Service Days: 16

Military Specialties : 641 Field telephone man

Service Schools Attended:

Service School Courses:

Service School Weeks:

Principal Military Duty and No.: 641 Telephoneman

Notes:

EMPLOYMENT AND NON-SERVICE EDUCATIONAL DATA

(1) Civilian Occupation: Paper cutter

(1) Civilian Occupation No.: 6-42

(1) Civilian Occupation No. Yrs.: 16

(1) Civilian Occupation Last Employed Date: 1943-11-dd

(1) Civilian Occupation Summary: Operated a paper sheeting machine

(2) Civilian Occupation:

(2) Civilian Occupation No.:

(2) Civilian Occupation No. Yrs.:

(2) Civilian Occupation Last Employed Date:

Last Employer Name: Stone Printing Mfg. Co.

Last Employer Address: Roanoke, Va.

Date Left Last Employer: 1943-11-dd

Job Aid Desired: No

Non-Service Education

Grammar Years: 7

High School Years:

College Years:

Degree:

Major Courses:

Trade Courses:

Courses of Greatest Interest:

Last School Attended: Commerce Street Roanoke, Va. 26

PREFERENCES

Preference for Additional Training :

Job Preference: Paper cutter

Job Preference Reason: Experience

Locality Preference: Roanoke, Va.

Locality Preference Reason: home

Name and Rank of Discharging Officer: 2dLt. USMCR

Date Signed by Discharged Person:

U.S. MARINE CORPS REPORT OF SEPARATION

NAVMC 78-PD

Last Name: Campbell

Suffix:

First Name: Benjamin

Middle Names: Frank

Rank: Cpl/Corp

Pay Grade: 5

Serial Number: 918377

Permanent Address: Route #2 Box 115 Amherst, Va

Race: W

Sex: M

Citizen: Yes

Date of Birth: 1925-09-20

Address for Employment: Route #2 Box 115 Amherst, Va

Married: No

No. of Dep.: None

Place of Birth: Amherst, Va

RECORD OF MARINE CORPS SERVICE

Selective Service Data

Registered: Yes

Address at Entry into Service: Route #2 Box 115 Amherst, Va

Sel. Ser. Bd. No.:

Sel. Ser. Bd. County & State: Amherst, Va

Means of Entry (1): Enlisted

Means of Entry (2): Inducted

Place of Entry into Active Service: Roanoke, Va

Date of Entry: 1943-12-17

Component REG.:

Component RES.: III

Pension Claim Filed: Yes

Place of Separation: MB Bainbridge, MD

Date of Separation: 1946-05-01

Org. at Separation: Sep Co

Type of Discharge: Honorable

Foreign/Sea Service Years: 1

Foreign/Sea Service Months: 11

Foreign/Sea Service Days: 6

Military Specialties : 604 Machine Gun Crewman 745 Rifleman

Service Schools Attended: None

Service School Courses:

Service School Weeks:

Principal Military Duty and No.: 604 Light Machine Gunner

Notes:

EMPLOYMENT AND NON-SERVICE EDUCATIONAL DATA

(1) Civilian Occupation: Truck Driver Light

(1) Civilian Occupation No.: 7-36

(1) Civilian Occupation No. Yrs.: 4

(1) Civilian Occupation Last Employed Date: 1943-12-dd

(1) Civilian Occupation Summary: Drove 2 1/2 ton truck hauling pulp wood

(2) Civilian Occupation: None

(2) Civilian Occupation No.:

(2) Civilian Occupation No. Yrs.:

(2) Civilian Occupation Last Employed Date:

Last Employer Name: D T Campbell

Last Employer Address:

Date Left Last Employer: 1943-12-dd

Job Aid Desired: Yes

Non-Service Education

Grammar Years: 6

High School Years:

College Years:

Degree:

Major Courses:

Trade Courses:

Courses of Greatest Interest:

Last School Attended: Amherst, Va

PREFERENCES

Preference for Additional Training : None at present

Job Preference: Old job

Job Preference Reason:

Locality Preference: Va

Locality Preference Reason: None

Name and Rank of Discharging Officer:

Date Signed by Discharged Person:

U.S. MARINE CORPS REPORT OF SEPARATION

NAVMC 78-PD

Last Name: Campbell

Suffix:

First Name: Earl

Middle Names: Kenneth

Rank: Pvt

Pay Grade: 7

Serial Number: 941160

Permanent Address: Craigsvill, Va

Race: W

Sex: M

Citizen: Yes

Date of Birth: 1913-09-13

Address for Employment: Craigsvill, Va

Married: Yes

No. of Dep.: 5

Place of Birth: Rockbridge, Va

RECORD OF MARINE CORPS SERVICE

Selective Service Data

Registered: Yes

Address at Entry into Service: DHIRS Richmond, Va

Sel. Ser. Bd. No.: 2

Sel. Ser. Bd. County & State: Agusta, Va

Means of Entry (1): Inducted

Means of Entry (2):

Place of Entry into Active Service: Richmond, Va

Date of Entry: 1944-03-08

Component REG.:

Component RES.: III

Pension Claim Filed: No

Place of Separation: MB NTC Bainbridge, MD

Date of Separation: 1945-10-29

Org. at Separation: Sep Co

Type of Discharge: Honorable

Foreign/Sea Service Years: 1

Foreign/Sea Service Months: 3

Foreign/Sea Service Days: 24

Military Specialties : Basic

Service Schools Attended: None

Service School Courses:

Service School Weeks:

Principal Military Duty and No.:

Notes:

EMPLOYMENT AND NON-SERVICE EDUCATIONAL DATA

(1) Civilian Occupation: Farm Hand, General

(1) Civilian Occupation No.: 3-16

(1) Civilian Occupation No. Yrs.: 14

(1) Civilian Occupation Last Employed Date: 1943-09-30

(1) Civilian Occupation Summary: Did general farm work, planting, cultivating, harvesting, Cared for Livestock Drove 1 1/2 ton truck

(2) Civilian Occupation:

(2) Civilian Occupation No.:

(2) Civilian Occupation No. Yrs.:

(2) Civilian Occupation Last Employed Date:

Last Employer Name: J H Gregory

Last Employer Address: Craigsville, Va

Date Left Last Employer: 1945-09-30

Job Aid Desired: No

Non-Service Education

Grammar Years: 1

High School Years:

College Years:

Degree:

Major Courses:

Trade Courses: None

Courses of Greatest Interest: None

Last School Attended: Craigsville, Va

PREFERENCES

Preference for Additional Training : None

Job Preference: Farming and working for Lehigh Cement Co

Job Preference Reason: Pre-war job

Locality Preference: Augusta county

Locality Preference Reason:

Name and Rank of Discharging Officer:

Date Signed by Discharged Person:

U.S. MARINE CORPS REPORT OF SEPARATION

NAVMC 78-PD

Last Name:

Suffix:

First Name:

Middle Names:

Rank:

Pay Grade:

Serial Number:

Permanent Address:

Race:

Sex:

Citizen:

Date of Birth:

Address for Employment:

Married:

No. of Dep.:

Place of Birth:

RECORD OF MARINE CORPS SERVICE

Selective Service Data

Registered:

Address at Entry into Service:

Sel. Ser. Bd. No.:

Sel. Ser. Bd. County & State:

Means of Entry (1):

Means of Entry (2):

Place of Entry into Active Service:

Date of Entry:

Component REG.:

Component RES.:

Pension Claim Filed:

Place of Separation:

Date of Separation:

Org. at Separation:

Type of Discharge:

Foreign/Sea Service Years:

Foreign/Sea Service Months:

Foreign/Sea Service Days:

Military Specialties :

Service Schools Attended:

Service School Courses:

Service School Weeks:

Principal Military Duty and No.:

Notes:

EMPLOYMENT AND NON-SERVICE EDUCATIONAL DATA

(1) Civilian Occupation:

(1) Civilian Occupation No.:

(1) Civilian Occupation No. Yrs.:

(1) Civilian Occupation Last Employed Date:

(1) Civilian Occupation Summary:

(2) Civilian Occupation:

(2) Civilian Occupation No.:

(2) Civilian Occupation No. Yrs.:

(2) Civilian Occupation Last Employed Date:

Last Employer Name:

Last Employer Address:

Date Left Last Employer:

Job Aid Desired:

Non-Service Education

Grammar Years:

High School Years:

College Years:

Degree:

Major Courses:

Trade Courses:

Courses of Greatest Interest:

Last School Attended:

PREFERENCES

Preference for Additional Training :

Job Preference:

Job Preference Reason:

Locality Preference:

Locality Preference Reason:

Name and Rank of Discharging Officer:

Date Signed by Discharged Person:

U.S. MARINE CORPS REPORT OF SEPARATION

NAVMC 78-PD

Last Name: Campbell

Suffix:

First Name: Elton

Middle Names: Conrad

Rank: Cpl/Corp

Pay Grade: 5

Serial Number: 960033

Permanent Address: Looseville, Va

Race: W

Sex: M

Citizen: Yes

Date of Birth: 1922-07-05

Address for Employment:

Married: No

No. of Dep.: 1

Place of Birth: Woodchin, Va

RECORD OF MARINE CORPS SERVICE

Selective Service Data

Registered: Yes

Address at Entry into Service: 634 27th st new ports news, Va

Sel. Ser. Bd. No.:

Sel. Ser. Bd. County & State: Elizabeth City, Va

Means of Entry (1): Inducted

Means of Entry (2):

Place of Entry into Active Service: Richmond, Va

Date of Entry: 1944-03-13

Component REG.:

Component RES.: III

Pension Claim Filed: No

Place of Separation: Bainbridge, MD

Date of Separation: 1946-06-01

Org. at Separation: sepco

Type of Discharge: Honorable

Foreign/Sea Service Years: 1

Foreign/Sea Service Months: 8

Foreign/Sea Service Days: 3

Military Specialties : Military police 677 Basic 531

Service Schools Attended:

Service School Courses:

Service School Weeks:

Principal Military Duty and No.: 677 Military Policeman

Notes:

EMPLOYMENT AND NON-SERVICE EDUCATIONAL DATA

(1) Civilian Occupation: Farm hand general

(1) Civilian Occupation No.: 3-16

(1) Civilian Occupation No. Yrs.: 8

(1) Civilian Occupation Last Employed Date: 1944-03-15

(1) Civilian Occupation Summary: Helped in planting cultivated & harvesting corn, tobacco, potatoes & other crops.

(2) Civilian Occupation:

(2) Civilian Occupation No.:

(2) Civilian Occupation No. Yrs.:

(2) Civilian Occupation Last Employed Date:

Last Employer Name: W C Casbell, Woodchin, Va

Last Employer Address:

Date Left Last Employer: 1944-03-15

Job Aid Desired: Yes

Non-Service Education

Grammar Years: 2

High School Years:

College Years:

Degree:

Major Courses:

Trade Courses:

Courses of Greatest Interest:

Last School Attended: Looesville High School

PREFERENCES

Preference for Additional Training : Undecided

Job Preference: Machinist Helper

Job Preference Reason: Cld job

Locality Preference: Newport news, Pa

Locality Preference Reason: workd there before

Name and Rank of Discharging Officer:

Date Signed by Discharged Person:

U.S. MARINE CORPS REPORT OF SEPARATION

NAVMC 78-PD

Last Name: Campbell

Suffix:

First Name: Emily

Middle Names: Howell

Rank: 1Lt

Pay Grade:

Serial Number: 034226

Permanent Address: 452 Institute Hill, Lexington, Va

Race: W

Sex: F

Citizen: Yes

Date of Birth: 1920-04-17

Address for Employment: 452 Institute Hill, Lexington, Va

Married: No

No. of Dep.:

Place of Birth: Lexington, Va

RECORD OF MARINE CORPS SERVICE

Selective Service Data

Registered: No

Address at Entry into Service: 452 Institute Hill, Lexington, Va

Sel. Ser. Bd. No.:

Sel. Ser. Bd. County & State:

Means of Entry (1): Enlisted

Means of Entry (2):

Place of Entry into Active Service: Cherry Point

Date of Entry: 1945-11-25

Component REG.:

Component RES.: V1

Pension Claim Filed: No

Place of Separation: Cherry point,

Date of Separation: 1945-11-25

Org. at Separation:

Type of Discharge: Letter of separation

Foreign/Sea Service Years:

Foreign/Sea Service Months:

Foreign/Sea Service Days:

Military Specialties : Navigation Officer 1034 Instrument Flying Training Officer 2547

Service Schools Attended: Radio School Naval Air navigation Link Celestial Nav

Service School Courses: Radio operator Air navigation Celestial Link Navigation

Service School Weeks: 19 10 6

Principal Military Duty and No.: 1034 Navigator

Notes:

EMPLOYMENT AND NON-SERVICE EDUCATIONAL DATA

(1) Civilian Occupation: Crypographer

(1) Civilian Occupation No.: 0-68.33

(1) Civilian Occupation No. Yrs.:

(1) Civilian Occupation Last Employed Date: 1943-04-dd

(1) Civilian Occupation Summary: Coded and Decoded messages (army) operated teletype machine typed forms, operated simegraph machine cut stensils and sorted mail

(2) Civilian Occupation: clerk typist

(2) Civilian Occupation No.: 1-37.34

(2) Civilian Occupation No. Yrs.:

(2) Civilian Occupation Last Employed Date: 1942-08-dd

Last Employer Name: Air transport Command, Code room

Last Employer Address: Detroit mich

Date Left Last Employer: 1943-04-dd

Job Aid Desired: No

Non-Service Education

Grammar Years: 8

High School Years: 4

College Years: 4

Degree: BA

Major Courses: English, Literature

Trade Courses:

Courses of Greatest Interest:

Last School Attended:

PREFERENCES

Preference for Additional Training :

Job Preference:

Job Preference Reason:

Locality Preference:

Locality Preference Reason:

Name and Rank of Discharging Officer:

Date Signed by Discharged Person: