Deployment dates (start year) and unit
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Do not include classified information.
Additional Information
Provide details on any answers requiring further explanation.
References
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List the names of three (3) TIO service members with their **phone numbers and email addresses** who can attest to the character of your service.
Photo Release
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I hereby grant TIO-P permission to use my likeness in a photograph, video, or other digital media (“photo”) in any and all of its publications, including web-based publications, without payment or other consideration.
I understand and agree that all photos will become the property of TIO-P and will not be returned.
I hereby irrevocably authorize TIO-P to edit, alter, copy, exhibit, publish, or distribute these photos for any lawful purpose. In addition, I waive any right to inspect or approve the finished product wherein my likeness appears. Additionally, I waive any right to royalties or other compensation arising or related to the use of the photo.
I hereby hold harmless, release, and forever discharge the TIO-P from all claims, demands, and causes of action which I, my heirs, representatives, executors, administrators, or any other persons acting on my behalf or on behalf of my estate have or may have by reason of this authorization.
I HAVE READ AND UNDERSTAND THE ABOVE PHOTO RELEASE AND AFFIRM THAT I AM AT LEAST 18 YEARS OF AGE.
Please type your name below to indicate that you understand this statement and consent to the use of your image.
If you do NOT consent to the use of your image, type "I do not consent" in place of your name.
