HEADQUARTERS
NEV{ MEXICO STATE GUARD #41 BATAAN BLVD SANTA FE, NEW MEXTCO 87505 MEMORANDUM
FOR: THE ADJUTANT GENERAL, NEW MEXICO,
#41
BATAAN
BLVD.,
DMA
SANTA FE,NEW MEXTCO 97505
SUBJECT: WAIVER OF AGE REQUEST
Under the provisions of Section 20-5-3, New Mexico Statutes Annotated 1978, I the undersigned member of the New Mexico State Guard, hereby volunteer and consent to be retained in The NMSG beyond the age of sixty-four (64). My dat.e of
birth is
Pri-nt
Name
Signature RanK &
SSN
Unit n^t^
CC:
HQNMSG,TAG-NMAN3,20J. FILE
RECOMMBND:
APPROVAL
DISAPPROVAL
COMMANDER NMSG FORM 11
DATE