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FORM NUMBER: DD1369

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TITLE: APPLICATION FOR ENROLLMENT ON THE MEDAL OF HONOR ROLL AND FOR THE PENSION

AUTHORIZATION BY THE ACT OF CONGRESS APPROVED AUGUST 14, 1961

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EDITION DATE: 20000101 CANCELLATION DATE:

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AVAILABLE FILE FORMATS: PLEASE
Fillable Adobe: If no hyperlink appears next to a format, the form is not available
Perform Pro: electronically. To obtain hard copies of current forms not available in
Form Flow 2.0: electronic format, please contact your own Military Service or DoD
Form Flow 99: Component Forms Management Officer. Cancelled forms are not
Other: available in electronic formats. Click on link for a list of Forms

Forms Management POCs

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REMARKS:
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ISSUANCES: DOD 1348.33-M
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SPONSOR / POC: P&R SUB-SPONSOR: FMP(MPP)(OEPM)
NUMBER OF PAGES: 1
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USERS*: A N AF MC
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PRESCRIBED OR ADOPTED?: P

DISPOSITION: S

FUNCTION CODE: 1348

FORM CONTROLLED: N

MANDATORY PRINT SPECIFICATIONS: N

RCS:

IRCN:

OMB:

PRIVACY ACT 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.