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    What is the Confederate Soldier's full name?

    What is your relationship to the Confederate Soldier? (required)

    Lineal

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    Collateral

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    City/County?

    State (required)

    What was your Confederate ancestor's Rank? (required)

    In which Company? (required)

    In which Regiment or Unit? (required)

    Paroled

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    Released on Oath

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    Cemetery Name & Location

    Date of Death

    Your Full Name (required)

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    Telephone No. (required)

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    Full Name & SCV ID No.

    Camp Name & No.

    Znwyt

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