United States Military Academy
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USMA Admissions
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West Point,
New York 10996
(845) 938-4041
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2a: Service-connected nomination sample

Must reach West Point by JANUARY 15 of the year seeking admission

Director of Admissions                      Date___________________
United States Military Academy
West Point, New York  10996-1797


Dear Sir:

I request a nomination under the ______________________ category for
the class entering the United States Military Academy in the Summer 
of 20___, and I submit the following data:

Name of Applicant:__________________________________________________

Address:____________________________________________________________

Telephone Number:___________________________________________________

Date of Birth:______________________________________________________

Social Security Number:_____________________________________________

Names of Parents:___________________________________________________

Military Rank of Parent:____________________________________________

Social Security Number of Parent:___________________________________

Component and Branch of Service of Parent:__________________________



                             Sincerely,