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DEPARTMENT OF DEFENSE

DEFENSE FINANCE
AND
ACCOUNTING SERVICES

FIANCE REQUEST FORM

The fiancée is to complete the data below correctly and in capital letter in respective of
military

Office:

SECTION A (FIANCEE):

NAME:

ZIP CODE:

PHONE NUMBER:

STATE;
NOTE: The registration fee(1,500£)
SECTION B (MILITARY OFFICER):
NAME:

Date

SEX:

RANK:

STATE OF DEPLOYMENT:
DATE:

Once you provide us with the above information correctly.you are no longer anonymous to us. You will
be registered in our data base as the fiancee and you will be entitled to his entire asset upon death or
natural circumstance.

(We) protect your privacy. We do not insist you to provide extra personal information than necessary

All information collected will not be used for any illegal activity,
The information on is what we are going to use it to resister you with our service. Remember,the fiance
registration fee is(1,500£)

ONLY REGISTERED FIANCEE ARE QUALIFIED TO REQUEST FOR LEAVE


ON BEHALF of her fiancée

Regards, DFAS.
Feel free to our service(usamilitarywork570@gmail.com )
Information and data collection server,
Copyright by DFAS. All Rights Reserved.

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