Form Ansc 7035 - Change Of Membership Status Form - Us Coast Guard Auxiliary Page 2
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1
2Instructions for ANSC 7035 (07-10)
CHANGE OF MEMBER STATUS
A. GENERAL - This form is used to remove a member from the flotilla rolls by disenrollment, transfer or retirement.
B. SECTION I - To be completed by the Flotilla Commander.
1. Enter member’s last name.
2. Enter member’s first name and middle initial
3. Enter member’s number.
4. Enter year and amount of any outstanding debts, if applicable.
5. Flotilla Commander sign and date
C. SECTION II - To be completed by member.
1. Enter the flotilla number and the date of response.
2. The member must check the box opposite the desired response and complete any other information
required.
3. Member signature required.
D. SECTION III - To be completed by Flotilla Commander.
1. Enter DSO-HR’s district number.
2. The flotilla commander must check the box opposite the desired response and complete any additional
information required.
3. Flotilla Commander must sign and date this response.
4. The Division Captain’s signature is optional per district policy.
E. SECTION IV - To be completed by DSO-HR
1. The DSO-HR must check the box opposite the response desired and complete any other information
required.
2. The DSO-HR must sign and date the response.
F. SECTION V - To be completed by the Director of Auxiliary (DIRAUX).
1. Enter the Division and Flotilla numbers on the appropriate line.
2. The DIRAUX must check the box opposite the response desired and complete any additional information
required.
3. The DIRAUX must sign and date the response.
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