Veteran Information Form

Name : __________________________________________________________________________________________________________________

Present address: _______________________________________________________________________________________________________

City:____________________________________________________________State:______________________ Zip:________________________

Date of Birth:________________________ Date of Death:___________________________

Birthplace - City:_____________________________________ State: ________________________________________________

Branch of Service: ____________________________ Service Number: ___________________________________________

Enlistment/Draft Date: _____________________________ Discharge Date: ______________________________________

Conflict Involved With (cicle one)  WWII, Korea, Vietnam, Desert Storm - or other conflicts_____________

Other U.S. Service  (please designate) _____________________________________________________________________

Resident at Enlistment: _____________________________________________________________________________________

Date you became a resident of Sterling Township:_________________________________________________________

 

A biography of the registrant's military service such as bases stationed, countries visited, battles involved with, or any other information about experiences pertaining to his or her time in the service would be helpful. Please attach to this form, or use other side. If you have a picture of the person in uniform that would help also.

 

This form is being submitted by:

Name : _______________________________________________________________________________________________________________________________________________________________

Address: _____________________________________________________________________________________________________________________________________________________________

City: __________________________________________________________________________State: ____________________________ Zip: _________________ Phone:______________________

 

 Please return completed form to: Historians of Sterling Township,Box 48 Sterling,Pa. 18463 or email to  historiansofsterlingtownship@gmail.com 

 

 

 

 

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