Final Personnel Record for Newhouse, Delbert C., U.S. Navy, 1957

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8
I CERTIFY that I will Inform t he Bureau of Naval Personnel via my
commanding officer Immediately of any changes In marital status, or con.
dltlons of dependency, or of voluntary occupancy of public quarters by my
dependents.
n condition of dependency
between -
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I do sol
d and disclosed In the
foregoln
belief.
Subscribed and sworn to before me t hls,_--"7_ tf-
_______
day ot
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19~ I having authority
~o adw
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' )ak.
(Signature)
/
(Rank)
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INSTRUCTIONS
This form must be sworn to before an officer of the
United States Navy authorized to administer oaths, or
before a notary public.
The full names and addresses of the beneficiaries must
be stated carefully. If a married woman, her own given
name should be stated: thus: "Mrs. Anna May Smith," not
"Mrs. John Smith."
This slip shall be made out and handled as follows:
Officer, Navy: Forward to Bureau of Naval Personnel.
Nurse: Forward to Bureau of Medicine and Surgery.
Enlisted men, Navy: In duplicate: one copy to Bureau
of Naval Personnel, one copy secured inside service rec­
ord. In cases of men entitled to money allowances for
quarters for enlisted men with dependents, t.1vo additional
copies, bearing the required certificate, to the Disbursing
Officer.
New beneficiary slips shall be executed and forwarded
as above in all cases of change in status of the granfor or
in that of his or her beneficiaries.
In any event, payment will be made to the widow or
children, if any, whether designated or not.
Normally casualty notification will be sent to all the
beneficiaries designat ed on this form. If, by reason of
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unusual circumstances, other special arrangements ore
desired, a statement should be attached setting forth
full instructions including full names, addresses, and
relationships.
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