UNIT
UNIT ADDRESS
MEMORANDUM FOR
SUBJECT: Sergeant Audie Murphy Club Nomination and Worksheet
NAME:________________________ SSN:______________ GRADE:______
PMOS:________ SMOS:_________ PMOS SQT:________ DATE:________
UNIT:______________________________ DUTY PHONE:______________
DUTY POSITION & DATE ASGN:___________________________________
TIME IN SVC:________ ETS:________ MONTHS IN PRESENT JOB:______
- CIVILIAN CLEARANCE:__________________________________________
Ends (COMMANDERS SIGNATURE BLOCK)
1. DD Form 2266
2. Bio Sketch
W. Va. Code R. agency 141, tit. 141, ser. 141-42, app C