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(b) Have you or your wife (or husband) at any time had business or professional relationships with subjects,
residing abroad, of countries now at war with the United States or its allies
No
(c) State the character and extent of such business or professional intercourse
(a) Have you ever lived in Europe?
NoIf so, give names of European countries in which you have resided,
9.
and respective dates of residence in each
(b) Has your wife or husband ever lived in Europe?
(c) If so, give names of European countries in which he or she has resided, and respective dates of residence
in each
(d) Have you ever traveled in Europe?
Yes
If so, name countries visited, with respective dates of visits.
Great Bultain in the
summer
of 1909,
(e) Has your wife or husband ever traveled in Europe?
If so, name countries which were visited,
with respective dates of visits.
(f) Since August I, 1914, have you or your wife (or husband) applied for a United States passport?
If so, state whether application was granted, denied or withdrawn
IO. (a) Have you ever been physically examined for war service?
(b) If so, state when, where, and if possible the name and address of the examining physician
1918, Marietta, Ohio by A D.C.
(c) Were you accepted, rejected, or is the result of the examination pending? Accepted,
I
guess
II. State fully your participation in the military service of the United States or its allies in the present war
I2. What previous military service have you had? State the name of the organization with which you were enrolled,
and in what branch of service, and dates of service
13. (a) If on June 5, 1917, you were under 3I years of age, state the official name and address of the Local Board
with which you were registered, and the Class and Division in which you have been placed by such Local
Board
(b) If classified in Class 5, Division G, what was found to be your physical disability ?
(c) Is this disability obvious to the casual observer?
14. (a) Names of all relatives by blood or marriage nearer than second cousins residing in Europe
(b) State the last-known place of residence of each of such persons and the business or profession in which each
of them was engaged
(c) Which of said relatives, if any, are now or have been in the military service of Germany, Austria, Bulgaria
or Turkey?
Page data
- Page
- 30
- Source index
- 0
- Type
- photo
- Media ID
- a28614ecf94388bf
- Size
- unknown
Document data
- ID
- 2661753
- Core
- doc
- Type
- document
DTO data
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Context sent to Scholar
Document identity
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Document source metadata
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Document source extras
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Page context
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"ocrText": "(b) Have you or your wife (or husband) at any time had business or professional relationships with subjects,\nresiding abroad, of countries now at war with the United States or its allies\nNo\n(c) State the character and extent of such business or professional intercourse\n(a) Have you ever lived in Europe?\nNoIf so, give names of European countries in which you have resided,\n9.\nand respective dates of residence in each\n(b) Has your wife or husband ever lived in Europe?\n(c) If so, give names of European countries in which he or she has resided, and respective dates of residence\nin each\n(d) Have you ever traveled in Europe?\nYes\nIf so, name countries visited, with respective dates of visits.\nGreat Bultain in the\nsummer\nof 1909,\n(e) Has your wife or husband ever traveled in Europe?\nIf so, name countries which were visited,\nwith respective dates of visits.\n(f) Since August I, 1914, have you or your wife (or husband) applied for a United States passport?\nIf so, state whether application was granted, denied or withdrawn\nIO. (a) Have you ever been physically examined for war service?\n(b) If so, state when, where, and if possible the name and address of the examining physician\n1918, Marietta, Ohio by A D.C.\n(c) Were you accepted, rejected, or is the result of the examination pending? Accepted,\nI\nguess\nII. State fully your participation in the military service of the United States or its allies in the present war\nI2. What previous military service have you had? State the name of the organization with which you were enrolled,\nand in what branch of service, and dates of service\n13. (a) If on June 5, 1917, you were under 3I years of age, state the official name and address of the Local Board\nwith which you were registered, and the Class and Division in which you have been placed by such Local\nBoard\n(b) If classified in Class 5, Division G, what was found to be your physical disability ?\n(c) Is this disability obvious to the casual observer?\n14. (a) Names of all relatives by blood or marriage nearer than second cousins residing in Europe\n(b) State the last-known place of residence of each of such persons and the business or profession in which each\nof them was engaged\n(c) Which of said relatives, if any, are now or have been in the military service of Germany, Austria, Bulgaria\nor Turkey?"
}