CDT 138
CDT 138
CDT 138
NOM : _____________________________________________________________________________
PRÉNOMS : ________________________________________________________________________
(VEUILLEZ INSCRIRE TOUS VOS PRÉNOMS ET SOULIGNER L'USUEL)
NAS : _____________________________________________________________________________
SERVICE ANTÉRIEUR
ADRESSE ________________________________________
________________________________________
________________________________________
________________________________________
TÉLÉPHONE DOMICILE (_____)_____________________
TRAVAIL (_____)_____________________
CDT 138
(English on reverse)
INFORMATION SHEET TRANSFER FORM THE SUPPLEMENTARY RESERVE
SURNAME: __________________________________________________________________________
SIN:
SECOND LANGUAGE:
CIVILIAN OCCUPATION:
PREVIOUS SERVICE
ADDRESS ________________________________________
________________________________________
________________________________________
________________________________________
TELEPHONE RESIDENCE (_____)_____________________
WORK (_____)_____________________
CDT 138
(Français au verso)