Chief and Petty Officers' Mess

CF One Number

Service Number

* required

First Name

*required

Last Name

* required

Date of Birth

NUMBERS ONLY DAY MONTH YEAR ddmmyyyy

Element

Rank

* required

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

NUMBERS ONLY DAY MONTH YEAR ddmmyyyy

Reserve Mess Dues Payment

Reservist: I confirm that I have advised my orderly room to cease my monthly Mess dues in accordance with Mess Constitution and By-Laws

Privacy Notice

I confirm that I have read the PRIVACY NOTICE.

Consent agreement

By registering to this program or activity, I consent to the collection and use of my personal information as described in the privacy notice above.

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