--- General / Personal ---
Last name:
First name:
Home of Record (official):
State (official):
Date of Birth:
Sex:
Race:
Marital Status:
--- Military ---
Branch: Army
Rank:
Serial Number:
Component: Regular
Pay grade:
MOS (Military Occupational Specialty code):
--- Action ---
Start of Tour:
Date of Casualty:
Age at time of loss:
Casualty type:
Reason:
Country:
Province:
The Wall:
:
