UT NROTC Alumni - Notify Us of a Death

 


The following information form is for your use in notifying us of a death of a member so that we may notify others through this website and update our Alumni Database. The database is used to create the Alumni Directory and also for mailing of the newsletter. Please fill in the requested information on the form below and click on the "Submit Query" button to email the information to our database manager. If you are only submitting an update, fill in the complete name, class year and only that information which is new, has changed or has not been reported before. Obituaries don't always show a photograph of the decedent. If you have one, please email it to the Webmaster. NOTE: Use this form only for reporting a known death. If you are unsure and are just making an inquiry email the Webmaster and we'll research it.

Thanks!

Please include the following information:

First name: MI: Last name (at commissioning):

Current Last name (if changed since commissioning):

Spouse's first name:   Last or maiden name: if we knew her/him back then.

Commissioning Class: Branch of Service: Rank:

Commissioning Date: Commissioning Program (If other than NROTC):

Please provide decedent's last home address:

Address 1:

Address 2:

City: State: ZIP/Postal Code:

Country:

Name of Person making this report:

Your Phone No.:      2nd Contact Phone No.:

Your E-mail Address: Alternate Contact E-mail:

Date of Death:

Location of Obituary:

Any Additional Info Needed:

 


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Copyright 2002 UT NROTC Alumni Foundation
Last Updated: May 24, 2012