Biographical Entry Form
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  * First   Initial   * Last Suffix
* Name:    
Address: 
 
City: 
State:  Zip: 
Phone: 
Nickname:  Spouse: 

* Contact E-Mail Address  

Birth

Enlist

Deceased Date

Date City St. Date City ST.  
 

Your ASN [Serial Number]:      * Group:          Squadron:

   
Training: 
Graduating Class:  Location:  State: 
Group Rank: 
Duties: 
Ret. Rank: 
Occupation Prior to Military: 
Occupation After/Continued: 
Arrival at Duty Base:   -- mm/dd/yy Arrived From: 
Arrived How [Any Details]: 
Personal Memories: 
Specific Mission Comments: 
Date Departed ETO:   -- mm/dd/yy How: 
Trip Details: 
Military Honors & Decorations: 
Congressional Medal Of Honor Distinguished Service Cross
Distinguished Service Medal Silver Star
Legion of Merit Distinguished Flying Cross
Soldiers Medal Bronze Star
Air Medal Purple Hart
Presidential Unit Citation Prisoner of War
Good Conduct Medal Victory WW II
Other Awards: 
Special Status 
Shot Down POW Evaded MIA
KIA Ditched Crashed Interned
Escaped Parachuted Wounded Hospitalized
Other      
Details: 
Ground Position / Duties: 
Aircraft you Crewed [Names or Numbers]: 
Aircraft Lost or Damaged: 
Memories: