The Korean War Honor Roll
This information is needed and will be placed in computers at the Korean War Veterans
Memorial in D. C. for all to see.
Please Check:
____ Photo Enclosed (Prefer 3" X 5" or larger. Uniform not required)
____ Correction
____ Additional Data
Casualty: ________________________________ ________________________ __________________
Last Name First Name Middle Name
Date of Birth ________/______/ 19______ Home Town ____________________ State_____
Mo Day
Branch of service (Circle) Army Navy Marine Air Force Rank _________________________
Service Number (If Known) ______________________________
Date of Death/Disappearance ___________/________/_______
Mo Day Year Deceased Unit __________________________________________________________
Awards _____________________________________________________________________________
Award Abbreviations:
MH=Medal of Honor, DSC=Distingished Service Cross. DFC=Distingushed Flying
Cross, SS=Silver Cross, BS=Bronze Star, CR=Commendation Ribbon, AM=Air Medal,
PH=Purple Heart, CIB=Combat Infantry Badge, CMB=Combat Medic Badge
Circumstances surrounding the death (If desired) ____________________________________
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Sumbited By: __________________________ Mail to:Colonel Frederick C. Badger
American Battle Monument Commission
_______________________________________ Courthouse Plaza II, Suite 500
2300 Clarendon Boulevard
_______________________________________ Arlington, VA 22201
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Form published as a public service by: 2nd Infantry Division, Korean War Veteran's Alliance, 1-888-2id-kwva
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