TEMPORARY ID CARD REQUEST
34 Signals Regiment 4625 Ste-Catherine O Montreal QC H3Z 1S4
Name
*
Service Number
Rank
Last Name
Initials
Choose Your Blood Group
*
Date of Birth
*
Please select a day
1
2
3
4
5
6
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29
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31
Day
Please select a month
January
February
March
April
May
June
July
August
September
October
November
December
Month
Please select a year
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
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1933
1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
Year
Weight
*
Hair Color
*
Brown
Blond
Black
Gray
Red
Bald
Height
*
Eye Color
*
Brown
Blue
Green
Complexion
*
Fair
Medium
Dark
Choice the following:
*
Tattoos
Scars
Birthmarks
Piercings
None
Other
If one or multiple options from the previous question apply to you, please indicate the location.
ID card or passport sized picture must be joined here:
*
I certify that the information provided is exact:
*
Date
*
 -
Day
 -
Month
Year
Date
Submit
Should be Empty: