AIR FORCE DISCHARGE REVIEW BOARD HEARING RECORD
~~-
- NAME O F SERVICE MEMBER (LAST, FIRST MIDDLE INITIAL)
GRADE
SSGT
AFSNISSAN
T W E GEN
PERSONAL APPEARANCE
NAME OF COUNSEL AND OR ORGANIZATION
X
RECORD REVIEW
ADDRESS AND OR ORGANIZATION OF COUNSEL
YES
No
X
..._____...._____....-----....-----....-,
MEMBER SITTING
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HON
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', VOTE . OF
GEN
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UOTHC
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OTHER
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DENY
X
X
X
X
........................................
ISSUES A94.05
A67.30
INDEX NUMBER
X
EXHIBITS SUBMITTED TO,i'HE BOARD . '
1 I ORDER APPOINTING THE BOARD
2
3
4
APPI.ICATION FOR REVIEW OF DISCHARGE
LETTER OF NOTIFICATION
BRIEF OF PERSONNEL FILE
COUNSEL'S RELEASE TO THE BOARD
TAPE RECORDING OF PERSONAL APPEAR4NCE
I
/
I
I
I
CASE NUMBER
I FD-2004-00031
HEARING DATE
1 09 Apr 2004
1 Case heard r Washington, D.C.
Advise applicant of the decision of the Board, the right to a personal appearance withlwithout counsel, and the right to
submit an application to the AFBCMR
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DATE: 4MOM
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AFHQ FORM 0-2077, JAN 00
(EF-V2)
Previous edition will be used
AF | DRB | CY2004 | FD2004-00354
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