In Clearance - Officers' Mess

CF One Number

*required

Service Number

* required

First Name

* required

Last Name

* required

Date of Birth ddmmyyyy

*required

Element

*required

Rank

*required

Member Status

*required

Home Mailing Address

*required

City

*required

Province

*required

Postal Code

*required

Phone Number

*required

E-mail

* required

Reason for In Clearance

*required

Gaining Unit

*required

Losing Unit

*required

Change of Strength Date (COS) ddmmyyyy

* required

Any Additional Information

Willing to offer volunteer assistance on occasion when available/if suitable for the task at hand?

Yes No

*required

Mess Dues Payment

Reg Force: I hereby authorize my Mess to deduct my Mess charges from my military pay

*required

Reserve Mess Dues Payment

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

*required

Privacy Notice

I confirm that I have read the PRIVACY NOTICE.

*required

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.

In Clearance - Officers' Mess

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