Chief and Petty Officers' Mess

CF One Number

Service Number

* required

First Name

*required

Last Name

* required

Date of Birth

ddmmyyyy

Element

Rank

Member Status

New Residential Address

City

Province

Postal Code

Phone Number

E-mail

*required

Reason for Out Clearance

Losing Unit

Gaining Unit

Change of Strength Date (COS) Discharge Date

ddmmyyyy

Life Member Card

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