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Application Form for an Appreciation Letter From the Republic of Korea President to Korean War Veterans

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Application Form for an Appreciation Letter

From the Republic of Korea President to Korean War Veterans

Section I - Veteran's Personal Information

Last Name First Name Middle Name

Gender □ Male □ Female Date of Birth (dd/mm/yyyy) Address

Street City State

Post Code Country Email Address

Phone Number

(include area code) Home: Mobile:

Section Ⅱ - Veteran's Korean War Service Information

Military Service Number Navy/Army/Air Force

Period of Service in the Korean War(mm/yyyy) from to

Section III - Veteran's Certification

I verify that I am an Australian Korean War Veteran. (It is not necessary to belong to a Korean War Veterans Association to receive the President’s Letter. A family member can sign for an incapacitated Veteran). I understand that the above information may be used to update Department of Veterans’

Affairs Records.

Veteran's (or family member) signature & date

Name Signature Date

The Repatriation Commissioner GPO Box 9998

Canberra ACT 2600

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