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NOTIFICATION OF PERSONNEL ACTION

Standard Form **

Rev. 7/91

U.S. Office of Personnel Management

FPM Supp. 296−33, Subch. 4

1. Name (Last, First, Middle) 2. Social Security Number 3. Date of Birth 4. Effective Date FIRST ACTION

5−A. Code 5−B. Nature of Action

5−C. Code 5−D. Legal Authority...