U. S. NAVAL HOSPITAL
Date SEP 10 1945
In the event Naval Retiring Board proceedings be instituted for the consideration of my case, I waive my rights to appear before the Naval Retiring Board or to be represented by counsel.
I certify that I have been informed of the contents of the report of medical survey as required by Article 1195 (2), U. S. Navy Regulations, and that I am fully cognizant of the provisions of Section 958, Naval Courts and Boards.
L. Ron Hubbard
File/Ref. No.: OMPF-LRH-03-015