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TO BE SUBMITTED IN DUPLICATE
APPLICATION FOR ENROLLMENT
ARMY EXTENSION COURSES

(City, town, or post office) (State)
(Number and street or rural route; if none, so state)

Telephone number
(Date), 193

Subject: Application for Enrollment in Army Extension Courses.

To: 
1. Request is made for enrollment in the following Army Extension Course:
(Arm of service) Series Subcourses

2. Date of birth

3. My previous military education has been as follows:
(State military training and experience in chronological order. Use additional sheets for statement if space provided is insufficient)

4. If a civilian, warrant officer, or enlisted man, indicate in the space below your educational qualification, e.g., 1st, 2d, or 3d year high school, high school graduate, 1st, 2d, or 3d year college, college graduate. 

(Signature)
(Name typed or printed)
(Grade) (Section) (Organization to which assigned or attached) (N.G. or Res.)

Assignment: *Arm of service *General *Corps Area
W.D., A.G.O. Form No. 145 July 1, 1933
*Strike out words not applicable.
3-8944
U.S. GOVERNMENT PRINTING OFFICE

Transcription Notes:
Blank form.