In the State of California, there are specific requirements for what must be included on a document known as a Certificate of Cancellation (Cc Form 173 R). This document is used to cancel a corporation's registration with the state. The requirements vary depending on why the company is being cancelled. In this blog post, we will take a closer look at what needs to be included on the Cc Form 173 R in order for it to be valid. We will also provide some tips on how to complete the form correctly.
| Question | Answer |
|---|---|
| Form Name | Cc Form 173 R |
| Form Length | 1 pages |
| Fillable? | No |
| Fillable fields | 0 |
| Avg. time to fill out | 15 sec |
| Other names | 173-R, 2-Yr2, USC, A-1 |
U.S. ARMY ROTC GREEN TO GOLD
For use of this form, see CC Reg
DATA REQUIRED BY THE PRIVACTY ACT OF 1974
Authority |
10 USC 2102 and 2107. |
Principal Purpose |
Form is used to make application for a Green to Gold |
Routine Uses |
Form is used to obtain selection and eligibility information on applicants for |
Disclosure |
Information provided on this form is mandatory, without the data provided on this form, the application cannot be considered for a scholarship. |
1. |
SSN |
2a. LAST NAME |
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2b. FIRST NAME |
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2c. MI |
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3. |
DATE OF BIRTH (Enter as YYMMDD) |
4. |
SEX |
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5. RACE/ETHNIC CODE |
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6a. |
HOME ADDRESS: STREET |
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6b. |
CITY |
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6c. STATE |
6d. ZIP CODE |
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7a. |
WORK ADDRESS: STREET (Unit of Assignment) |
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7b. |
CITY |
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7c. STATE |
7d. ZIP CODE |
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8a. |
TELEPHONE NUMBER: HOME |
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9. |
MARITAL |
11. SPOUSE MILITARY |
12a. SOURCE OF |
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13. RANK |
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(Include Area Code/Include Country Code for overseas) |
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STATUS |
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CITIZENSHIP |
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8b. |
TELEPHONE NUMBER: WORK |
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10. |
NUMBER OF DEPENDENTS |
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12b. NATURALIZATION NUMBER |
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14a. |
DATE OF ENLISTMENT |
14b. ENLISTED EXPIRATION |
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15. |
MOS |
16. GENERAL TECH |
17. APFT |
APFT |
APFT |
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(Enter as YYMMDD) |
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DATE (Enter as YYMMDD) |
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(GT) SCORE |
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PUSH UPS SIT UPS |
MIN SEC |
SUM |
PASS |
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14c. IF DATE SPECIFIED IS A REENLISTMENT DATE, INDICATE |
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PERIOD OF ORIGINAL ENLISTMENT (Enter as YYMMDD) |
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18. |
CIVIL CONVICTIONS |
19a. FAVORABLE SECURITY |
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19b. WHAT TYPE |
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CLEARANCE COMPLETED |
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20. |
NAME OF COLLEGE OR UNIVERSITY YOU WILL BE |
21. SCHOOL CODE |
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ATTENDING |
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22. |
IF ITEM 20 DOES NOT HOST ARMY ROTC, INDICATE |
23. SCHOOL CODE |
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THE SCHOOL WHERE YOU WILL TAKE ROTC |
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24. |
RESIDENT |
25. |
ACADEMIC MAJOR |
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STUDENT STATUS |
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CODE |
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26. |
SCHOLARSHIP TYPE |
27. Are you interested in the Green to Gold Active Duty |
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(Masters=M, |
Option Program to obtain your commission |
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YES |
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NO |
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28. |
LIST AWARDS, DECORATIONS OR SPECIAL RECOGNITION BESTOWED UPON APPLICANT WHILE ON ACTIVE DUTY |
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29. |
EMAIL ADDRESS OF APPLICANT |
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30. FAX NUMBER OF APPLICANT |
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31. |
SIGNATURE OF APPLICANT |
DATE |
32. VERIFICATION AND SIGNATURE BY THE MILPO OFFICE (INCLUDE RANK) |
DATE |
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CC FORM |
REPLACES ROTC CADET COMMAND FORM |
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