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12. (a) Have you ever been physically examined for war service or life insurance? Was services in France
(b) If so, state when, where, and, if the name
possible, and address of the examiner service m Caucasns
(c) you accepted rejected? accepted
Life Extension Bureau new york city 1920
Were or
13 What previous military service have you had? State name of organization with which you were earolled, and in what branch of service,
and dates of service
14. (a) Would you enter foreign service?
yes yes
State briefly familiarity with foreign countries by residence or travel England. 7 runce , Italy
(b) In any country or countries where required?
15.
Syria Turkey, armenia
16. Advise what foreign languages you speak, read or translate, and degree of fluency
French - well
17. Give names and address of all patriotic, beneficial and social organizations to which you belong
Federalism. % clubis florida
-
18. () Kind of service preferred.
-
(b) What do you consider your qualifications particularly fitting you for this service?
19. li an applicant for medical or dental service, state
e
(a) What hospital service as interne
(b) What hospital appointments at present
(c) How long have you been in practice?
(d) In what State are you licensed to practice?
(e) Have you specialized in any branch? If so, what?
/
(f) Are you a member of Medical Officers' Reserve Corps?
Rank
S
20.
(a) Would you serve without pay and defray all your necessary personal expenses?
+
(b) If unable to serve as full self-sustaining volunteer, check following items you would require met by Red Cross
Living expenses abroad (in cases of nurses and nurses' aides)
el
Living expenses prior to departure
-
Uniform and equipment, if any required
C
Transportation in United States and return
Transportation overseas and return
(c) If Red Cross made adequate allowance for your expenses in the service, as per 20-b, what specific amount would you require in additon?
(b) Length of term for which you could serve
(Subject to earlier termination in discretion of American Red Cross. Nurses must agree to serve one year, if required that long.)
I hereby certify that the answers to the above questions are correct to the best of my knowledge and belief.
(Signed) Byrtene C. anderson.
VII nume pe umpres spe gog po nhod
ZEKAICE LOBW
O
BED
Page data
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- Source index
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- Type
- photo
- Media ID
- eab270684bce34ac
- Size
- unknown
Document data
- ID
- 2661043
- Core
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- Type
- document
DTO data
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Context sent to Scholar
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Document source extras
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Page context
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"ocrText": "D\n12. (a) Have you ever been physically examined for war service or life insurance? Was services in France\n(b) If so, state when, where, and, if the name\npossible, and address of the examiner service m Caucasns\n(c) you accepted rejected? accepted\nLife Extension Bureau new york city 1920\nWere or\n13 What previous military service have you had? State name of organization with which you were earolled, and in what branch of service,\nand dates of service\n14. (a) Would you enter foreign service?\nyes yes\nState briefly familiarity with foreign countries by residence or travel England. 7 runce , Italy\n(b) In any country or countries where required?\n15.\nSyria Turkey, armenia\n16. Advise what foreign languages you speak, read or translate, and degree of fluency\nFrench - well\n17. Give names and address of all patriotic, beneficial and social organizations to which you belong\nFederalism. % clubis florida\n-\n18. () Kind of service preferred.\n-\n(b) What do you consider your qualifications particularly fitting you for this service?\n19. li an applicant for medical or dental service, state\ne\n(a) What hospital service as interne\n(b) What hospital appointments at present\n(c) How long have you been in practice?\n(d) In what State are you licensed to practice?\n(e) Have you specialized in any branch? If so, what?\n/\n(f) Are you a member of Medical Officers' Reserve Corps?\nRank\nS\n20.\n(a) Would you serve without pay and defray all your necessary personal expenses?\n+\n(b) If unable to serve as full self-sustaining volunteer, check following items you would require met by Red Cross\nLiving expenses abroad (in cases of nurses and nurses' aides)\nel\nLiving expenses prior to departure\n-\nUniform and equipment, if any required\nC\nTransportation in United States and return\nTransportation overseas and return\n(c) If Red Cross made adequate allowance for your expenses in the service, as per 20-b, what specific amount would you require in additon?\n(b) Length of term for which you could serve\n(Subject to earlier termination in discretion of American Red Cross. Nurses must agree to serve one year, if required that long.)\nI hereby certify that the answers to the above questions are correct to the best of my knowledge and belief.\n(Signed) Byrtene C. anderson.\nVII nume pe umpres spe gog po nhod\nZEKAICE LOBW\nO\nBED"
}