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Decision Text

AF | DRB | CY2004 | FD2004-00223
Original file (FD2004-00223.pdf) Auto-classification: Denied
+ AIR FORCE DISCHARGE REVIEW BOARD HEARING RECORD

 

 

 

 

 

 

- ME OF SERVECE MEMBER (LAST, FIRST MIDDLE INTPEAL) GRADE AFSN/SSAN
 at foo . You may also consult civilian counsel at your own

expense.

5. You have the right to submit statements in your own behalf. Any statements you want the

separation authority to consider must reach me by _133¢ / 22 Cero unless you request
and receive an extension for good cause shown. J will forward your statements to the separation

authority.

6. If you fail to consult counsel or to submit statements in your own behalf, your failure will
constitute a waiver of your rights to do so.

7. You have been scheduled for a medical examination. You must report to Family Practice at
[100 on_230cy oF for the examination.

8. Any personal information you furnish in rebuttal is covered by the Privacy Act of 1974. A
copy of AFI 36-3208 is available for your use in your unit’s Commander Support Staff.

9. Execute the attached acknowledgment and return it to me immediately.

 

Attachments:
1. Supporting documents --for the reason for discharge

Anticle 15, dated 15 Oct 03
LOR, dated 15 Oct 03
LOR, dated 12 Sep 03
LOR, dated 10 Sep 03

LOR/UIP, dated 10 Sep 03
RIC, dated 31 Jul 03

RIC, dated 30 Jul 03

a.
b.
C.
d.
e.
f.

g.
7 2. Documents containing derogatory information -- which are not listed in the notification

memorandum:
a. E-mail memo, dated 17 Sep 03 - failure to report for duty
b. E-mail memo, dated 15 Sep 03 - failure to return for duty
c, E-mail memo, dated 12 Sep 03 - failure to report for duty
d. E-mail memo, dated 12 Sep 03 - failure to report for duty

3. Airman’s receipt of notification memorandum, dated_|) O24 0 .

For Official Use Only

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