Veteran's Directory Data Entry

Required Field*
Veteran Information
*First Name: (If unknown, enter 'unknown')
 
Middle Name:
 
*Last Name:
 
Maiden Name:
 
Name Suffix:
 
Date of Birth: (mm/dd/yyyy)
 
Gender:
 
Spouse's Name:
 
Parents' Names:
 
City of Birth:
 
County of Birth:
 
State of Birth:
 
Country of Birth:
 
Date of Death: (mm/dd/yyyy)
 
City of Death:
 
County of Death:
 
State of Death:
 
Country of Death:
 
Place of Burial: (Cemetery/Township)
 
Cemetery Section:
 
Cemetery Lot Number:
 
Cemetery Location:
 
Service Information
Branch of Service:
 
Branch of Service (Other):
 
Units Served In:
 
Highest Rank Held:
 
Date Entered Service: (mm/dd/yyyy)
 
Site of Enlistment:
Date of Separation: (mm/dd/yyyy)
 
Site of Separation:
 
Medals, Awards, and Decorations
Medals:
 





Additional Awards and Decorations:
 
Status
Status:
 



Wars/Campaigns
Wars:
 










Campaigns:
 
Information Sources
*Information Source:
 
*Your Name:
 
*Your Address:
 
*Your City:
 
*Your State:
 
*Your Zip Code:
 
Your Telephone Number:
 
Your E-mail Address:
 
Additional Remarks or Comments:
 

Copyright 2009 Defiance County Veterans Office