GSSHWWDB Personal Information Submission Form
This form is for updating your personal information stored in the GSSHWWDB database. This information is kept in case a health researcher or GSSHWWDB Operator would want to contact you for questions regarding an entry in the database.
Please note that it is GSSHWWDB policy to never supply anyone or organization with a list of names, phone numbers or email addresses of persons in the database other than researchers or health studies approved by GSSHWWDB.
Enter your information here then click the "Submit Data" button to send the information to GSSHWWDB.
My Personal Information
Optionally populate the form with your existing information
State / Prov:
Armed Forces - America
Armed Forces - Eur, Afr & ME
Armed Forces - Pacific
Australian Capital Territory
District of Columbia
New South Wales (Australia)
Newfoundland & Labrador
Northern Territory (Australia)
Northwest Territory (Canada)
Nunavut Territory (Canada)
Prince Edward Island
-- Select --
Personal Web Site:
(your own web site if you have one)
Display all info
Do not display street address
Do not display street address, city and phone
Do not display full address and phone
Do not display full address, phone and email
Note that the display option allows you to control the display of
people data to general database users. Operators or researchers will still be able to see all your info and contact you.
By clicking the "Submit Data" button below I am confirming that I am the person listed above. Furthermore, I am attesting that the data is correct and accurate to the best of my knowledge and that I voluntarily submit the above data for entry into the GSSHWWDB database.
I authorize release in accordance with GSSHWWDB policies and I authorize a GSSHWWDB Operator to contact me for data validation purposes.
Please direct any questions or comments about this form to