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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 ( b ) Place Discharge or becoming Non - Effective Cause ( 22 ) 9. 4. 3Y DISCLCED ON TERMINATION of ENGAGEMENT 123 ( K41 ) SRR 11. 44. 33 Para 91 / ( xvn ) Skllypus . верный терь IH 4-33 Septford 144. 44. 33 Para 91 ( 340 ) SAlpe expefond Tops Toke Rank and Character on Discharge 12. 12. 44. Mischanged . Para 390 ( XVI ) K. R. 40 Para 9 1 ( 240 ) Stlyn TopE ( 24 ) Rate of pension awarded ( if any ) ( 25 ) Address on Discharge 617 ( 26 ) Remarks ( 27 ) 114 T T T |
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