I
AIR FORCE DISCHARGE REVIEW BOARD HEARING RECORD
I NAME OF SERVICE MEMBER (LAST, FIRST MIDDLE INITIAL)
GRADE
AFSNISSAN
PERSONAL APPEARANCE
NAMEOF COUNSEL AND OR ORGANEATION
RECORD REVIEW
X
ADDRESS A R D OR ORGANIZATION OFCOWSE~.
I---.
TYPE GEN
CoUiFSEL
No .
YES
i
MEMBER SITTING
1 2 / APPLICATION FOR REVILW OF DlSCtlARGE
PERSONAL APPE?RANCE i:
LETTER OF NOTlFlCAl-ION
BRIEF OF PERSONNEL FILL
COUNSEL'S RELEASE T O THE BOARD
ADDlrlONAL E X l l l b l l S SUBMITIED AT TIME OF
TAPE RECORDING OF PERSONAL APPEARANCE
CASE NUMBER
/ FD-2004-00358
I
/
I
,,I ,RlYG OArF 1 I
/ 17 Dec 2004
I Case heard at Washington, D.C
I
I
Advise applicant ofthe decision of the Board, the right to a personal appearance withiwithout counsel, and the right to
I submit an application to the AFBCMR.
u
-
MDORSEMER'T
_
_
DATE: 12il'i'ZOOl
c
I
AFHQ FfSK.&l 0-?07i, J 4 N 00
(EF-V2)
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