If you are a KKG, your initiation year is fine along with your chapter.
Address is needed for correspondence with you - chapters should thank you, some let your know where your girl ended up pledging, etc. Plus, it is a type of verification as Zillini said.
I am guessing since you said your initiation year is 2011, that you have never even seen a rec form or read rec letters...Use your permanent home address, not your college address on this form.
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