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veterans - Royal Canadian Legion - Nova Scotia Command

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216<br />

Veteran Information –Military Service Recognition Book<br />

<strong>Nova</strong> <strong>Scotia</strong>/Nunavut <strong>Command</strong><br />

61 Gloria McCluskey, Dartmouth, NS B3B 2Z3<br />

General Information Required for Story Submission Please print clearly!<br />

Name of Military Person being recognized:<br />

Surname: Given name(s):<br />

Place of Birth: Year of Birth: Year of Death:<br />

Service: WWl WWII Korea Special Duty Area Peacetime Other:<br />

Branch of Service: Navy Army Air Force Merchant Navy Other:<br />

Service Unit:<br />

Areas Served in:<br />

i.e. North NS Highlanders, CWAC,<br />

Names of Ships, Squadrons, etc.<br />

i.e. - Canada, High Seas, England,<br />

C/E, Korea, SDA (Please name), etc.<br />

Killed in Action? Yes No Year of Death: Where Killed<br />

Was or is a Member of <strong>Legion</strong> Branch - Name & #: How many years?<br />

Information on person submitting form:<br />

Submitted by (Name): Branch # LA # Individual<br />

Contact Information: Tel # __________________ FAX # ________________ e-mail ___________________<br />

Additional Information: Please attach a separate<br />

sheet of paper, and keep information to maximum<br />

of 200 words.<br />

(Example – awards for bravery, i.e., VC, DSC, DFC,<br />

MC, MM, etc., POW.<br />

Military Service Recognition Booklet<br />

Please attach photograph here.<br />

Do Not Fax

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