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U.S. MARINE CORPS REPORT OF SEPARATION

NAVMC 78-PD

Last Name: Godfrey

Suffix:

First Name: Coulbourn

Middle Names: Borne

Rank: Capt

Pay Grade:

Serial Number: 015470

Permanent Address:

Race:

Sex: M

Citizen: Yes

Date of Birth: 1919-09-20

Address for Employment:

Married: Yes

No. of Dep.: 1

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): Enlisted

Means of Entry (2): Commissioned

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: NCS

Type of Discharge: Letter of Separation

Foreign/Sea Service Years: 2

Foreign/Sea Service Months: 5

Foreign/Sea Service Days:

Military Specialties :

Service Schools Attended:

Service School Courses:

Service School Weeks: 12
12

Principal Military Duty:

Principal Military Duty No.:

EMPLOYMENT AND NON-SERVICE EDUCATIONAL DATA

(1) Civilian Occupation: Student, History

(1) Civilian Occupation No.: 0-06.91

(1) Civilian Occupation No. Yrs.: 4

(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: No

Non-Service Education

Grammar Years: 7

High School Years: 4

College Years: 4

Degree:

Major Courses: History

Trade Courses:

Courses of Greatest Interest: History

Last School Attended:

PREFERENCES

Preference for Additional Training :

Job Preference: Undecided

Job Preference Reason:

Locality Preference:

Locality Preference Reason:

Name and Rank of Discharging Officer:

Date Signed by Discharged Person: