5. SEX
M

6. Religion
P

7. PREV. ADM.
NO

8. REGISTER NO.
16059

9. SERVICE NO.
44734A

10. GRADE
Capt

11. RATING OR DESIG.
Sr Pilot

12. DEPARTMENT
Air Force

13. ORGANIZATION AND BRANCH OF SERVICE
ARDC Wright Patterson(a)

14. FLYING STATUS
Yes