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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 ) ( 23 ) 15. 3. 35 Paragfern ) Ahen Septford Tope L. 19.5 . 33 Para 91₁ ( 21 ) Shtys . Septford Tops 21. 3. 38 TERMINATION TENGAGEMENT Rank and Character on Discharge 9.34 Kyamea 74.3 . 33. Parn 91 ( 211 ) Slly . Defetford topt Tope Rate of pension awarded ( if any ) ( 25 ) Address on Discharge ( 26 ) Remarks ( 27 ) 86 |
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