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Issues: Why an upgrade or change is requested and justification for \ the request \(Continue in Item 14; see instructions on Page 3.\)) /DA (/TiRo 10 Tf 0 g) /AP << /N 107 0 R >> >> endobj 107 0 obj << /Length 11 /Subtype /Form /BBox [ 0 0 534.94991 52.42703 ] /Resources << /ProcSet [ /PDF ] >> >> stream /Tx BMC EMC endstream endobj 108 0 obj << /Type /Annot /Subtype /Widget /Rect [ 36.8931 387.1468 53.3979 404.62248 ] /F 4 /P 35 0 R /FT /Btn /T (x7) /AS /Off /TU (7. Mark X if applicable: An application was previously submitted and th\ is form is submitted to add additional issues, justification, or evidenc\ e.) /MK << /CA (8)>> /DA (/ZaDb 10 Tf 0 g) /AP << /N << /Yes 111 0 R >> /D << /Yes 109 0 R /Off 110 0 R >> >> >> endobj 109 0 obj << /Length 118 /Subtype /Form /BBox [ 0 0 16.50481 17.47568 ] /Resources << /ProcSet [ /PDF /Text ] /Font << /ZaDb 40 0 R >> >> >> stream 0.749 g 0 0 16.5048 17.4757 re f q 1 1 14.5048 15.4757 re W n 0 g BT /ZaDb 10 Tf 4.8675 5.3528 Td 9.63 TL (8) Tj ET Q endstream endobj 110 0 obj << /Length 32 /Subtype /Form /BBox [ 0 0 16.50481 17.47568 ] /Resources << /ProcSet [ /PDF ] >> >> stream 0.749 g 0 0 16.5048 17.4757 re f endstream endobj 111 0 obj << /Length 85 /Subtype /Form /BBox [ 0 0 16.50481 17.47568 ] /Resources << /ProcSet [ /PDF /Text ] /Font << /ZaDb 40 0 R >> >> >> stream q 1 1 14.5048 15.4757 re W n 0 g BT /ZaDb 10 Tf 4.8675 5.3528 Td 9.63 TL (8) Tj ET Q endstream endobj 112 0 obj << /Type /Annot /Subtype /Widget /Rect [ 389.31926 396.85551 503.88203 406.56422 ] /F 4 /P 35 0 R /FT /Tx /T (dateprev) /TU (Date previous application submitted, if applicable \(4 digit year, 2 dig\ it month, 2 digit day\).) /DA (/TiRo 10 Tf 0 g) /Q 1 >> endobj 113 0 obj << /Type /Annot /Subtype /Widget /Rect [ 40.77658 319.18584 576.69736 372.58374 ] /F 4 /P 35 0 R /FT /Tx /T (support) /Ff 8392704 /V () /TU (8. In support of this application, the following attached documents are \ submitted as evidence. \(If military documents or medical records are re\ levant to your case, please send copies.\)) /DA (/TiRo 10 Tf 0 g) /AP << /N 114 0 R >> >> endobj 114 0 obj << /Length 11 /Subtype /Form /BBox [ 0 0 535.92078 53.3979 ] /Resources << /ProcSet [ /PDF ] >> >> stream /Tx BMC EMC endstream endobj 115 0 obj << /Type /Annot /Subtype /Widget /Rect [ 35.92223 294.91406 53.3979 311.41887 ] /F 4 /P 35 0 R /MK << /CA (8)>> /AP << /N << /conduct#20review 118 0 R >> /D << /conduct#20review 116 0 R /Off 117 0 R >> >> /AS /Off /Parent 24 0 R >> endobj 116 0 obj << /Length 85 /Subtype /Form /BBox [ 0 0 17.47568 16.50481 ] /Resources << /ProcSet [ /PDF /Text ] /Font << /ZaDb 40 0 R >> >> >> stream q 1 1 15.4757 14.5048 re W n 0 g BT /ZaDb 10 Tf 5.3529 4.8673 Td 9.63 TL (8) Tj ET Q endstream endobj 117 0 obj << /Length 32 /Subtype /Form /BBox [ 0 0 17.47568 16.50481 ] /Resources << /ProcSet [ /PDF ] >> >> stream 0.749 g 0 0 17.4757 16.5048 re f endstream endobj 118 0 obj << /Length 85 /Subtype /Form /BBox [ 0 0 17.47568 16.50481 ] /Resources << /ProcSet [ /PDF /Text ] /Font << /ZaDb 40 0 R >> >> >> stream q 1 1 15.4757 14.5048 re W n 0 g BT /ZaDb 10 Tf 5.3529 4.8673 Td 9.63 TL (8) Tj ET Q endstream endobj 119 0 obj << /Type /Annot /Subtype /Widget /Rect [ 36.8931 276.46751 54.36877 292.97232 ] /F 4 /P 35 0 R /AP << /N << /appear#20DC 122 0 R >> /D << /appear#20DC 120 0 R /Off 121 0 R >> >> /MK << /CA (8)>> /AS /Off /Parent 24 0 R >> endobj 120 0 obj << /Length 85 /Subtype /Form /BBox [ 0 0 17.47568 16.50481 ] /Resources << /ProcSet [ /PDF /Text ] /Font << /ZaDb 40 0 R >> >> >> stream q 1 1 15.4757 14.5048 re W n 0 g BT /ZaDb 10 Tf 5.3529 4.8673 Td 9.63 TL (8) Tj ET Q endstream endobj 121 0 obj << /Length 32 /Subtype /Form /BBox [ 0 0 17.47568 16.50481 ] /Resources << /ProcSet [ /PDF ] >> >> stream 0.749 g 0 0 17.4757 16.5048 re f endstream endobj 122 0 obj << /Length 85 /Subtype /Form /BBox [ 0 0 17.47568 16.50481 ] /Resources << /ProcSet [ /PDF /Text ] /Font << /ZaDb 40 0 R >> >> >> stream q 1 1 15.4757 14.5048 re W n 0 g BT /ZaDb 10 Tf 5.3529 4.8673 Td 9.63 TL (8) Tj ET Q endstream endobj 123 0 obj << /Type /Annot /Subtype /Widget /Rect [ 36.8931 258.99184 54.36877 275.49664 ] /F 4 /P 35 0 R /AP << /N << /traveling#20panel 126 0 R >> /D << /traveling#20panel 124 0 R /Off 125 0 R >> >> /MK << /CA (8)>> /AS /Off /Parent 24 0 R >> endobj 124 0 obj << /Length 85 /Subtype /Form /BBox [ 0 0 17.47568 16.50481 ] /Resources << /ProcSet [ /PDF /Text ] /Font << /ZaDb 40 0 R >> >> >> stream q 1 1 15.4757 14.5048 re W n 0 g BT /ZaDb 10 Tf 5.3529 4.8673 Td 9.63 TL (8) Tj ET Q endstream endobj 125 0 obj << /Length 32 /Subtype /Form /BBox [ 0 0 17.47568 16.50481 ] /Resources << /ProcSet [ /PDF ] >> >> stream 0.749 g 0 0 17.4757 16.5048 re f endstream endobj 126 0 obj << /Length 85 /Subtype /Form /BBox [ 0 0 17.47568 16.50481 ] /Resources << /ProcSet [ /PDF /Text ] /Font << /ZaDb 40 0 R >> >> >> stream q 1 1 15.4757 14.5048 re W n 0 g BT /ZaDb 10 Tf 5.3529 4.8673 Td 9.63 TL (8) Tj ET Q endstream endobj 127 0 obj << /Type /Annot /Subtype /Widget /Rect [ 130.09671 258.02097 321.35829 269.67142 ] /F 4 /P 35 0 R /FT /Tx /T (travelcity) /TU (Enter closest city and state for traveling panel.) /DA (/TiRo 10 Tf 0 g) >> endobj 128 0 obj << /Type /Annot /Subtype /Widget /Rect [ 37.86397 203.65219 372.81445 243.4579 ] /F 4 /P 35 0 R /FT /Tx /T (counsel) /Ff 8392704 /V () /TU (10.a. Counsel/Representative \(if any\). Name \(last, first, middle ini\ tial\) and Address \(see Item 10 of the Instructions\).) /DA (/TiRo 10 Tf 0 g) >> endobj 129 0 obj << /Type /Annot /Subtype /Widget /Rect [ 373.78532 239.57442 573.78474 254.13748 ] /F 4 /P 35 0 R /FT /Tx /T (counsphone) /TU (10.b. Telephone number \(include area code\).) /DA (/TiRo 10 Tf 0 g) /Q 1 >> endobj 130 0 obj << /Type /Annot /Subtype /Widget /Rect [ 413.59103 218.21526 578.6391 243.4579 ] /F 4 /P 35 0 R /FT /Tx /T (counsemail) /Ff 8392704 /V () /TU (10.c. E-mail address.) /DA (/TiRo 10 Tf 0 g) >> endobj 131 0 obj << /Type /Annot /Subtype /Widget /Rect [ 373.78532 203.65219 577.66823 218.21526 ] /F 4 /P 35 0 R /FT /Tx /T (counsfax) /TU (10.d. Fax number \(include area code\).) /DA (/TiRo 10 Tf 0 g) /Q 1 >> endobj 132 0 obj << /Type /Annot /Subtype /Widget /Rect [ 118.44626 175.49693 309.70784 190.06 ] /F 4 /P 35 0 R /FT /Tx /T (othername) /TU (11. Applicant must sign in item 13.a. below. If the record in question \ is that of a deceased or incompetent person, legal proof of death or inc\ ompetency must accompany the application. 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Current mailing address of applicant or person above \(forward not\ ification of any change of address\).) /DA (/TiRo 10 Tf 0 g) >> endobj 159 0 obj << /Type /Annot /Subtype /Widget /Rect [ 373.78532 144.42906 573.78474 158.02126 ] /F 4 /P 35 0 R /FT /Tx /T (app_phone) /TU (12.b. Telephone number \(include area code\).) /DA (/TiRo 10 Tf 0 g) /Q 1 >> endobj 160 0 obj << /Type /Annot /Subtype /Widget /Rect [ 413.59103 123.0699 578.6391 147.34167 ] /F 4 /P 35 0 R /FT /Tx /T (app_email) /Ff 8392704 /V () /TU (12.c. E-mail address.) /DA (/TiRo 10 Tf 0 g) >> endobj 161 0 obj << /Type /Annot /Subtype /Widget /Rect [ 373.78532 108.50684 577.66823 122.09903 ] /F 4 /P 35 0 R /FT /Tx /T (app_fax) /TU (12.d. Fax number \(include area code\).) /DA (/TiRo 10 Tf 0 g) /Q 1 >> endobj 162 0 obj << /Type /Annot /Subtype /Widget /Rect [ 40.77658 37.63326 302.91174 62.8759 ] /F 4 /P 35 0 R /FT /Tx /T (cert) /TU (Certification signature.) /DA (/TiRo 10 Tf 0 g) >> endobj 163 0 obj << /Type /Annot /Subtype /Widget /Rect [ 310.67871 38.60413 449.51326 58.02155 ] /F 4 /P 35 0 R /FT /Tx /T (certdate) /TU (13.b. 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