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U.S. MARINE CORPS REPORT OF SEPARATION

NAVMC 78-PD

Last Name: Glascock

Suffix:

First Name: Eugene

Middle Names: Berkley

Rank: CORP

Pay Grade: 5

Serial Number:

Permanent Address:

Race: W

Sex: M

Citizen: Yes

Date of Birth:

Address for Employment:

Married:

No. of Dep.: None

Place of Birth:

RECORD OF MARINE CORPS SERVICE

Selective Service Data

Registered: Yes

Address at Entry into Service:

Sel. Ser. Bd. No.:

Sel. Ser. Bd. County & State:

Means of Entry (1): Inducted

Means of Entry (2): Enlisted

Place of Entry into Active Service:

Date of Entry:

Component REG.:

Component RES.:

Pension Claim Filed: No

Place of Separation:

Date of Separation:

Org. at Separation:

Type of Discharge: Honorable

Foreign/Sea Service Years: 0

Foreign/Sea Service Months: 0

Foreign/Sea Service Days: 0

Military Specialties :

Service Schools Attended:

Service School Courses:

Service School Weeks:

Principal Military Duty:

Principal Military Duty No.:

EMPLOYMENT AND NON-SERVICE EDUCATIONAL DATA

(1) Civilian Occupation:

(1) Civilian Occupation No.: 4-97

(1) Civilian Occupation No. Yrs.:

(1) Civilian Occupation Last Employed Date:

(1) Civilian Occupation Summary:

(2) Civilian Occupation:

(2) Civilian Occupation No.:

(2) Civilian Occupation No. Yrs.:

(2) Civilian Occupation Last Employed Date:

Last Employer Name:

Last Employer Address:

Date Left Last Employer:

Job Aid Desired:

Non-Service Education

Grammar Years: 8

High School Years: 4

College Years:

Degree:

Major Courses:

Trade Courses:

Courses of Greatest Interest:

Last School Attended:

PREFERENCES

Preference for Additional Training :

Job Preference:

Job Preference Reason:

Locality Preference:

Locality Preference Reason:

Name and Rank of Discharging Officer:

Date Signed by Discharged Person: