1
2DATE ISSUED
CIVILIAN INTERNEE IDENTITY CARD
For use of this form, see AR 190-8;
the proponent agency is PMG.
LAST NAME
FIRST NAME
SEX
SERVICE NUMBER
POWER SERVED
PLACE OF BIRTH
DATE OF BIRTH
SIGNATURE OF BEARER
DA FORM 2677-R, NOV 1986
EDITION OF 1 JUL 63 IS OBSOLETE.
APD LC v1.02ES
DATE ISSUED
CIVILIAN INTERNEE IDENTITY CARD
For use of this form, see AR 190-8;
the proponent agency is PMG.
LAST NAME
FIRST NAME
SEX
SERVICE NUMBER
POWER SERVED
PLACE OF BIRTH
DATE OF BIRTH
SIGNATURE OF BEARER
DA FORM 2677-R, NOV 1986
EDITION OF 1 JUL 63 IS OBSOLETE.
APD LC v1.02ES
WEIGHT
COLOR OF EYES
HEIGHT
COLOR OF HAIR
BLOOD TYPE
RELIGION
NOTICE
Reverse of DA FORM 2677-R, NOV 1986
APD LC v1.02ES
