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Full Name and Nationality of Woman to whom married , and Name of each Child ( if any ) ( 18 ) Place of Marriage , and of Birth of each Child ( 19 ) Date of Marriage , and of Birth of each Child ( 20 ) Campaigns , Wounds , Medals or Rewards of any kind ( 21 ) ( a ) Date ( 6 ) Place Discharge or becoming Non - Effective Cause ( 22 ) 16. - 17 . 33 Para 91 ( 241 ) Skkin . Deptford Tope 17.4 . 33. Para 91 ( 1241 ) / Skla Depiford Tope 24-9.39 DIED 24-9-39 Rank and Character on Discharge 15.4 . 35 Para 103 ( 440 ) Skagen Deptford TE 17. 4. 33 Sara 91 ( Kvm ) SKlgus Cappfond Tapt ! ( 24 ) Rate of pension awarded ( if any ) ( 25 ) Address on Discharge ( 26 ) Remarks ( 27 ) 125 T |
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