Form Information
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FORM NUMBER: DD1172

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TITLE: APPLICATION FOR UNIFORMED SERVICES IDENTIFICATION CARD - DEERS ENROLLMENT

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EDITION DATE: 20090901 CANCELLATION DATE: 20121015

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FORMATS: PLEASE BE ADVISED:

No link under "FORMATS:" indicates no electronic format is available.


To obtain copies of forms, contact YOUR Military Service or Component Forms Manager

click here.


Cancelled forms are not available.

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REMARKS: Obsolete. Please use DD Form 1172-2 instead.
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ISSUANCES: DODI 1000.13
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SPONSOR / POC: P&R SUB-SPONSOR: DHRA HQ
NUMBER OF PAGES: 2
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USERS*: A N AF MC CG USPHS NOAA
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PRESCRIBED OR ADOPTED?: P

DISPOSITION: U

SUBJECT GROUP: 1000

FORM CONTROLLED: N

MANDATORY PRINT SPECIFICATIONS: N

RCS:

IRCN:

OMB: 0704-0020

PRIVACY ACT IMPLICATIONS: Y
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* All revisions and/or cancellations must be coordinated through these USERS.

DISPOSITION: S = Do NOT use previous edition. U = Use previous edition until supply is depleted.