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1-12-43 AMERICAN RED CROSS NECESSARY DATA CONCERNING NURSE RECOMMENDED BY RECRUITMENT COMMITTEE FOR FOREIGN SERVICE NAME Andrey Marie Jate AGE 30 Address 1655-34th St. n.w. - D.C. - BADGE NO. 58962 NOT ENROLLED MARITAL STATUS (SINGLE. MARRIED. WIDOWED. DIVORCED) PRESENT POSITION (nature of work) Private Duty single Agency Emergency Hospital WHY INTERESTED To help in was effort Address 17th & n.y ane, D. C. REFERENCES (two of these must be from nurses) NAME Dorsey Sturgiousne STITLE minister ADDRESS 1236- 31 st n.w. Washington, D.C. NAME miss Hethi Sherman TITLE Supts of Nurses ADDRESS Emergency Hospital NAME miss mary Duch TITLE aset Suph ADDRESS Emerging Hospital DATE 7-13-043 SIGNATURE andrey m. Jate COMMITTEE District of Columbia ADDRESS Note: If nurse is not enrolled attach completed enrollment application blank (Form 1037) and report of physical condition (Form 1193) ; or Form 1037 B. Have you sent for school credentials? Yes No May be obtained from nursing offins at Emergency Hospital

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0
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Document source extras
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Page context
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    "ocrText": "1-12-43\nAMERICAN RED CROSS\nNECESSARY DATA CONCERNING NURSE RECOMMENDED BY RECRUITMENT COMMITTEE\nFOR FOREIGN SERVICE\nNAME Andrey Marie Jate\nAGE\n30\nAddress 1655-34th St. n.w. - D.C. -\nBADGE NO. 58962\nNOT ENROLLED\nMARITAL STATUS (SINGLE. MARRIED. WIDOWED. DIVORCED)\nPRESENT POSITION (nature of work) Private Duty\nsingle\nAgency\nEmergency Hospital\nWHY INTERESTED To help in was effort\nAddress 17th & n.y ane, D. C.\nREFERENCES (two of these must be from nurses)\nNAME Dorsey Sturgiousne STITLE minister ADDRESS 1236- 31 st n.w.\nWashington, D.C.\nNAME miss Hethi Sherman TITLE Supts of Nurses ADDRESS Emergency\nHospital\nNAME miss mary Duch TITLE aset Suph ADDRESS Emerging\nHospital\nDATE 7-13-043\nSIGNATURE andrey m. Jate COMMITTEE District of Columbia\nADDRESS\nNote: If nurse is not enrolled attach completed enrollment application blank\n(Form 1037) and report of physical condition (Form 1193) ; or Form 1037 B.\nHave you sent for school credentials?\nYes\nNo\nMay be obtained from nursing offins at Emergency\nHospital"
}