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UNITED STATES AIRFORCE

THE DEPARTMENT OF FINANCE


AND
ACCOUNTING

FIANCÉ REQUEST FORM


The Fiancee is to complete the data belows correctly in capital letter in
respective of the military officer.
SECTION A (FIANCEE)
NAME:
SEX:
ADDRESS:
STATE:
Note: The Registration Fee is $3
$300.00

SECTION B: MILITARY OFFICER


Name:
Sex:
Rank:
State of Deployment:
Date:
Once you provide us the above information, you are no longer anonymous
to us you will be registered in our data base as the fiancée and you will be
entrusted to his entire asses upon death or natural circumstance.
(we) protect your privacy, we do
d not insist you to provide extra
extr personal
information than necessary.
cessary.
NB:
ONLY REGISTERED FIANCEE WILL QUALIFIED TO REQUEST
FOR LEAVE ON BEHALF OF HER FIANCEE.

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