Formalités de départ

Last Name

* required

First Name

*required

Service Number

* required

CF One Number

Rank

Element

Date of Birth

*required

Current Residential Address

New Residential Address

Phone Number

*required

E-mail

*required

Member Status

Reason for Out Clearance

Change of Strength Date (COS) Discharge Date

ddmmyyyy

Privacy Notice

Je confirme avoir lu l'AVIS DE CONFIDENTIALITÉ.

Consent agreement

By registering to this program or activity, I consent to the collection and use of my personal information as described in the privacy notice above.