HomeMy WebLinkAboutX2023-011-005FORM C.D.3. DISPERSAL CERTIFICA'T'E.
1. Surname...4'!................................................................
Temp......................
Regtl. No;
6..42— ..V..7 Rank {
A&�ng .... .5 5A—
2. (a) Service Group ................. -�Z-6............................................
Christian Nam esG����P?�r>l.................................
.......I ................. Regt. or Corps, ..... f��.........
(b`� Occupational Group. f...3..........................................
(c) Dispersal Area........v..............................................
t
Unit.!-�G %'sv- �.Cz .........
3. (a) Medical Category......
(b) Railway Station to which proceeding on Dis-
persal... 0. ........................................
(c) Post Office address in full ..................................................
K .....�,�.-z` ....................... .
(d) P.O. or Bank in which soldier desires to have
his Post discharge or deferred (if any) pay
deposited.......................................................................................
..... .. ... ............
4. I certify: —
(a) that I carry no ammunition;
(b) that all the information given above is correct to the best of my ability;
(c) that I have completed a Questionnaire for the Department of Civil Re -Establishment.
Signature of Soldier .......... .................
Signature of O,C.... .... ,....
Date.............................................1 .1t. !e ...........
NaMIES.
1. Aa.ch alteration must be initialled by the O.C.
2. Forms will be clearly marked - Criginal," " Dup.," or " Trip." as the case may be.
3. All entries will be made in ink or type.
4. All information for Part z of form will be obtained in the case of Other Ranks, from Pay Books, and in the case of
Officers from Record of Service Book (A.B. 439)•
5. In every case Signature of O.C. and Soldier must be attached.
6. Soldiers' (duplicate) copy, together with Pay Book (A.B. 64) should be carried on the person, not in the kit.
71 Iii c!L§e of loss ai Dlsheral Certif[catet soldier should report same to O.C. or Dispersal Draft Officer.