Department of Defence - San Andreas Army Application Form
Section 1 - Personal Details
1. Title:Mr
2. Surname/Last Name/Family Name:Baker
3. Surname at Birth if Different:
4. First Name(s):Pancher
5. Preferred First Name:Pancher
6. Gender:Male
7. Date of Birth (DD/MM/YYYY):07/03/1993
8. Age:19
9. Home Address:12 Vinewood Rd
10. Town:Los Santos
11. Postcode:4500
12. Phone Number:-
Section 2 - Service of Interest
1. Service of Interest:LeaderShip
2. Type of Particular Role (Eg, Medic, Engineer, Sniper, Chef):Leadership
Section 3 - Nationality, Immigration and Other
1. Nationality:White
2. Place of Birth:All Saints Los Santos
3: Country Of Birth: San Andreas
4. Do You have unrestricted right of Residency in SA: No
5. Recommendations (Name, Address, Phone Number, E-Mail, Occupation, How you know them):
((OOC))
Name:Mitch Baker
Age:19
GMT Timezone:+10 AEST
Town & Country: Brisbane Australia
Military Experience:2008-present
Declaration
By Submitting this Application, you agree to the following:
I declare that the details given in this Application Form, are, to the best of my knowledge and belief, correct.
I understand that if I withhold any material fact it may prejudice my application.
I will notify the Army Application Office of any changes as soon as possible after they occur.
I understand the purpose of this Application Form and the reasons for the collection of my personal data, including sensitive personal data.
I agree to my personal data and sensitive personal data, being used by the Armed Forces Recruiting and Selection Authorities.
I understand that I do not have to accept any offer of service.
I understand that there is no promise that I will be accepted.
I understand that the Armed Forces can refuse my application without giving any reason. [u]
