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b. Have you ever served in the Armed Forces of a foreign country?.No  Yes(Specify countries; dates)c. Do you or any members of your immediate family, including in-laws, have any relatives now residing outside the United States (except those in the ArmedForces of the United States or those employed by the United States Government living abroad)? No Yes. If so, list below and furnish degree ofassociation and contact you and members of your immediate family have with these relatives.| Name | Relation | Age | City | Country | Citizen of what Country || ---- | -------- | --- | ---- | ------- | ----------------------- ||      |          |     |      |         |                         ||      |          |     |      |         |                         ||      |          |     |      |         |                         |10. CREDIT RECORDa. Has your credit record ever been considered unsatisfactory, or have you ever been refused credit?No Yes(If "yes," give dates, places, names of creditors and circumstances.)b. Are you indebted to anyone? No Yes(List any debt over $100. Also list any debt, regardless of the amount, where payment is past due.)| Creditor | Address | Amount | Loan or Acct. # || -------- | ------- | ------ | --------------- ||          |         |        |                 ||          |         |        |                 ||          |         |        |                 |11. COURT RECORDa. Have you ever been arrested or charged with any violation including traffic, but not parking tickets? No Yes(List all such matters even if not formally charged, or no court appearance, or found not guilty, or matter settled by payment of fine or forfeiture of collateral.)| Date | Place and Department | Charge | Final disposition | Details || ---- | -------------------- | ------ | ----------------- | ------- ||      |                      |        |                   |         ||      |                      |        |                   |         ||      |                      |        |                   |         ||      |                      |        |                   |         ||      |                      |        |                   |         ||      |                      |        |                   |         ||      |                      |        |                   |         |b. Has any member of your family or close relative (including in-laws) ever been arrested for other than traffic violations? No Yes| Name | Relation | Date | Place | Charge | Final Disposition || ---- | -------- | ---- | ----- | ------ | ----------------- ||      |          |      |       |        |                   ||      |          |      |       |        |                   ||      |          |      |       |        |                   |c. Have you ever been a plaintiff or defendant in a court action including divorce actions? No Yes (Give date, place, court, names of parties involved, nature ofaction, and final disposition.)12. ORGANIZATION MEMBERSHIPa. Are you now, or have you ever been a member of any club, society or organization? No Yes. If yes, list below, do not abbreviate.| Name | City and State | Former | Present (List position held and extent of activity) || ---- | -------------- | ------ | --------------------------------------------------- ||      |                |        |                                                     ||      |                |        |                                                     ||      |                |        |                                                     |NW 88296 Docld:32989588 Page 565