RICHMOND HEIGHTS MEMORIAL LIBRARY

LOCAL VETERANS ARCHIVE REGISTRATION FORM

 

For veteran offering personal information: Please fill in all known information.  This information will be added to the Honor Roll at our next major revision, in summer or fall of 2013.

Please type or print clearly.  Let us know if you would like help completing this form.

Name_______________________________ Address__________________________________

Telephone Number (     )_______________                      __________________________________

(If the above address is not a Richmond Heights address, where did you live at the time of your active military service?)__________________________________________________________________

General Category (check all that apply):

                World  War I Veteran     ____

                World War II Veteran     ____

                Korean War Veteran      ____

                Vietnam War Veteran    ____

                Cold War Veteran            ____

                Operation Desert Storm Veteran              ____

                Operation Iraqi Freedom Veteran            ____

                Operation Enduring Freedom Veteran   ____

                Other  (active duty during American police actions in Grenada, Panama, et cetera)  ____

Branch of Service ___________________________________________________________

Number of Years in Service ___________________________________________________

Dates of Service ____________________________________________________________

Highest Rank Attained:  ______________________________________________________

Where did you do your basic training? __________________________________________

Where were you stationed overseas? (Navy personnel and others stationed aboard ship or other vessels, please indicate) ______________________________________________________

Form continues on back of page

 

Please name major battles of campaigns in which you participated:

__________________________________________________________________________

__________________________________________________________________________

__________________________________________________________________________

__________________________________________________________________________

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Any special medals, citations or commendations?__________________________________

__________________________________________________________________________

 

Name of individual filling out this form, if different from veteran (please print)

__________________________________________________________________________

 

Relationship to veteran (spouse, friend, etc.)? _____________________________________