subject_line
Membership Roster
Veteran's Name
First
*
Middle
Last
*
Suffix
Name of person completing form if not the veteran
Relationship to veteran
Email of person completing the form
*
Veteran's Recent Address
Street Address
Address Line 2
City
State / Territory
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
US Virgin Islands
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Washington DC
Zip Code
Phone Number
Email Address (if different from email address above)
Family Information (Parents and any relationships you feel appropriate)
0/200 characters
Hometown
Service No.
Service No.
Date Entered the Service
Service Schools Attended
School 1
MM/YY
School 2
MM/YY
School 3
MM/YY
Military Specialty(ies) Earned / Assigned
Specialty 1
Specialty 2
Select military rank upon discharge
Pvt
Pfc
T/5
Cpl
T/4
Sgt
T/3
S/Sgt
T/Sgt
1st Sgt
M/Sgt
2nd Lt
1st Lt
Cpt
Maj
Lt Col
Col
Brig Gen
Maj Gen
Lt Gen
Gen
Select Bomb Group Assigned
40th
444th
462nd
468th
Headquarters
Select the Squadron within your assigned Bomb Group
40th
25th Bomb Squadron
44th Bomb Squadron
45th Bomb Squadron
395th Bomb Squadron
1st Bomb Maint Squadron
2nd Bomb Maint Squadron
3rd Bomb Maint Squadron
4th Bomb Maint Squadron
11th Photo Lab
444th
676th Bomb Squadron
677th Bomb Squadron
678th Bomb Squadron
679th Bomb Squadron
5st Bomb Maint Squadron
6th Bomb Maint Squadron
7th Bomb Maint Squadron
8th Bomb Maint Squadron
12th Photo Lab
462th
768th Bomb Squadron
769th Bomb Squadron
770th Bomb Squadron
771th Bomb Squadron
9th Bomb Maint Squadron
10th Bomb Maint Squadron
11th Bomb Maint Squadron
12th Bomb Maint Squadron
13th Photo Lab
468th
792th Bomb Squadron
793rd Bomb Squadron
794th Bomb Squadron
795th Bomb Squadron
13th Bomb Maint Squadron
14th Bomb Maint Squadron
15th Bomb Maint Squadron
16th Bomb Maint Squadron
14th Photo Lab
Select if you were in an Air Service Group
25th
28th
86th
87th
Comments on group/squadron assignment
Location of unit when assigned
Date
Select awards/decorations received
Air Medal
Air Offensive Japan
American Campaign Medal
Asiatic-Pacific Campaign Medal
Aviation Badge
Battle Participation Award
Battle Star
Bronze Star
China Defense Medal
Chinese Cross
Distinguished Flying Cross
Distinguished Unit Citation
Good Conduct Medal
Presidential Unit Citation
WWII Victory Medal
Western Pacific Battle Star
Eastern Mandates
Honorable Service Lapel Button
Sharp Shooter Badge
Central Pacific Campaign
Western Pacific Campaign
Air Force Commendation Medal
Distinguished Service Medal
Joint Service Commendation Medal
American Theater Service Medal
China Campaign
India-Burma Campaign
Air Combat
Central Burma Campaign
Palembang-Sumatra Air Offensive
Burma-India-China Offensive
Silver Star
Distinguished Unit Badge
American Defense Service Medal
Star of China
American Theater Ribbon
Asiatic-Pacific Theater Ribbon
Meritorious Unit Award
Philippine Liberation Ribbon
Air Force Outstanding Unit Award
Purple Heart
China Offensive Campaign
American Service Medal
Anti-Submarine Campaign
Overseas Service
Army of Occupation Medal
Korean Service Medal
UN Service Medal
Soldiers Medal
National Defense Service Medal
Legion of Merit
China-Burma-India Ribbon
Asiatic-Pacific Service Medal
European-African-Middle East Theater Service Medal
India-China Campaign
Service Stripe
Japan Occupational Medal
Armed Forces Reserve Medal
POW Medal
List medals which received an oak leaf cluster, or clusters
Additional comments on awards/decorations received
No. of missions flown (if applicable)
No. of hump missions (if applicable)
Missions to countries
Burma
China (Japanese occupied)
Formosa
Indonesia
Japan
Manchuria
Thailand
Missions to cities
Ahashi
Akashi
Alor Star
Amagasaki
Anshan
Aomon
Aomori
Bangkok
Chi Chi Jima
Chiba
Choshi
Formosa
Fukui
Fukuoka
Fukuyama
Gufu
Hachijo Jima
Hachioji
Haha Jima
Hakodate (POW Supply)
Hamamatsu
Hankow
Hatamara
Heito
Hikari
Himeji
Hiratsuka
Hitachi
Hingyang
Honshu
Ichinomiya
Imabari
Isesaki
Ishinomaki
Jahore Straits
Kagamigahara
Kagi
Kagoshima
Kashumiguara
Katsaura
Katsura
Kawanishi
Kawasaki
Keelung
Kimimoto
Kobe
Kochi
Kofu
Komatsushima
Koshimoto
Kuala Lumpur
Kuakawa
Kumagaya
Kumamoto
Kure
Kuwana
Kyoto
Kyushu
Maebashi
Marcus Island
Matsugami
Matsuke
Matsukyaka
Mingaladon
Mito
Miyakonojo
Miyazaki
Moji
Morioka
Mukden
Nagami
Nagaoka
Nagoya
Namazu
Nara
Naruo
Nishinomiya
Nobeoka
None
Numazu
O Sima
Ogaki
Oita
Okayama
Okazaki
Okura
Omura
Omuta
Osaka
Omura
Omuta
Pagan Island
Palembang
Rangoon
Rota Island
Saga
Sagara
Saigon
Saimoda
Sakai
Sakimahara
Sasebo
Sakimahara
Sasebo
Sendai
Seto
Shanghai
Shizuoka
Shimizu
Shimoda
Shimonoseki
Shinchiku
Shingu
Shirahama
Shiuki
Singapore
Super Dumbo (Mines)
Suzak
Tachikawa
Taira
Takamatsu
Takarazuka
Takazuka
Tientsin
Tokaichi
Tokohashi
Tokushima
Tokuyama
Tokyo (POW Supply)
Tokyo
Tomashima
Tomioka
Toyama
Toyohashi
Toyokawa
Tsu
Tsuruga
Ube
Ujiyamada
Utsonomiya
Uwa Jima
Wadashima
Wakayama
Yahata
Yangtze
Yawata
Yokkaichi
Yokohama
Yokosuka
Additional comments on missions
Member of a ground crew
Check for yes
Member of a flight crew
Check for yes
Aircraft serial numbers and names
Aircraft 1)
Aircraft 3)
Aircraft 1)
Additional comments on assigned aircraft
Where you a POW?
Check for yes
If so, where?
Where you interned?
Check for yes
If so, where?
Date transferred from the 58th
Date discharged
Post-WWII military service
Post-WWII civilian occupations
Thoughts on what your service during WWII meant to you
Additional comments
Enter the word in the image
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