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US Mountaineer Militia
Semper Liberi – United States of America
This form is Official Property of the US Mountaineer Militia – False Information will VOID if necessary
All information is kept private and will not be released without your written permission or Federal Law
Sex: ……………………………………………………………………………….……………………………………………………………………………….
Official Passport Photo’s
Address: ……………………………………………………………………………….……………………………………………………………………………….……………………………………………………………………………….……………………………………………………………………………….……………………………………………………………………………….……………………………………………………………………………….
only. No self taken photos.
Address 2: ……………………………………………………………………………….……………………………………………………………………………….……………………………………………………………………………….……………………………………………………………………………….……………………………………………………………………………….……………………………………………………………………………….
Address 3: ……………………………………………………………………………….……………………………………………………………………………….……………………………………………………………………………….……………………………………………………………………………….……………………………………………………………………………….……………………………………………………………………………….
City: ……………………………………………………………………………….……………………………………………………………………………….……………………………………………………………………………….……………………………………………………………………………….……………………………………………………………………………….……………………………………………………………………………….
State: ……………………………………………………………………………….……………………………………………………………………………….……………………………………………………………………………….……………………………………………………………………………….……………………………………………………………………………….……………………………………………………………………………….
Official Use Only:
Zip Code: ……………………………………………………………………………….……………………………………………………………………………….……………………………………………………………………………….
Country: ……………………………………………………………………………….……………………………………………………………………………….……………………………………………………………………………….……………………………………………………………………………….……………………………………………………………………………….……………………………………………………………………………….
I certify under the penalty of Court Martial that this information is contained herein is true and correct. I hereby
authorize my Social Security Number to be released to the US Mountaineer Militia for official purposes only. I
hereby acknowledge this day that I have received notice of the provisions that are incorporated with the
recruitment of the US Mountaineer Militia and that I will protect and defend the constitution of the United
States of America, so help me God.
I hereby certify that I am signing recruitment to the US Mountaineer Militia and that I will follow my superior’s
orders. Failure to do so can lead to a punishment of Court Martial and/or Termination of service.
SIGN BELOW:
…………………………………………………………………………………………………………………………………………………………………
IMPORTANT
Please scan all application with picture and signature with form filled out.
Then send via email to cadetlunsford@comcast.net
RF - 001
US Mountaineer Militia
Semper Liberi – United States of America
This form is Official Property of the US Mountaineer Militia – False Information will VOID if necessary
All information is kept private and will not be released without your written permission or Federal Law