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assignment
500
FORM No. 469-(2)
THE AMERICAN RED CROSS
ENROLLMENT FORM
M W
Voyage number
From
To
THE DIVISION OF TRANSPORTATION,
Nursing Department
BUREAU OF PERSONNEL.
CLIB
Date 4-5-18
assmal
Approval of Director,
Bureau of
Personnel J.P.K.
Approved James a. reland
1. Name
Von Kurowsky, Agnes
2. Address
272 Manhattan Ave. New York City
3. Temporary address, if any
4. Going to what countries
Italy
5. Nature of work
Nursing
6. Suggested rank
7. Length of stay (six months or over?)
1 year or
8. Proposed approximate date of departure
Arpil
more Booked. 20th Apr. 20 (Crs) Sailed 6/15
9. Cable number in compliance with which above is being sent
10. Is appointee volunteer?
I52 or gum
No.
11. If not volunteer, what salary per month is promised? $ 60.00
12. To begin
date of sailing
13. What allowance, if any, for transportation in United States? $ in New York, Not
necessary
14. What allowance, if any, for transportation (steamship)? Yes, both ways
15. What allowance, if any, for living expenses prior to departure? $
none
16. What allowance, if any, for uniform equipment? $ yes, regulation equipment
17. What allowance, if any, for living expenses abroad? $
yes, regulation allowance
18. Is there to be an assignment of part or all of salary?
19. Has the proper form been sent to the Life Extension Institute?
Division of Transportation,
PLEASE LEAVE THE FOLLOWING LINES BLANK.
Correspondence checked:
Note
Forms 1-2-25
4/8/18
G-ac-,
4/8
Mailed 4/8/18
Clerk of the
Court at
Application for passport filed
Date
Issued
Reservation
Cancelled
Cabled
Cancelled
Document source description
This item is an Enrollment Form for Agnes von Kurowsky
Page data
- Page
- 1
- Source index
- 0
- Type
- photo
- Media ID
- a44dbf4ee773f7cb
- Size
- unknown
Document data
- ID
- 6706202
- Core
- doc
- Type
- document
DTO data
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Context sent to Scholar
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Document source metadata
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"ocrText": "assignment\n500\nFORM No. 469-(2)\nTHE AMERICAN RED CROSS\nENROLLMENT FORM\nM W\nVoyage number\nFrom\nTo\nTHE DIVISION OF TRANSPORTATION,\nNursing Department\nBUREAU OF PERSONNEL.\nCLIB\nDate 4-5-18\nassmal\nApproval of Director,\nBureau of\nPersonnel J.P.K.\nApproved James a. reland\n1. Name\nVon Kurowsky, Agnes\n2. Address\n272 Manhattan Ave. New York City\n3. Temporary address, if any\n4. Going to what countries\nItaly\n5. Nature of work\nNursing\n6. Suggested rank\n7. Length of stay (six months or over?)\n1 year or\n8. Proposed approximate date of departure\nArpil\nmore Booked. 20th Apr. 20 (Crs) Sailed 6/15\n9. Cable number in compliance with which above is being sent\n10. Is appointee volunteer?\nI52 or gum\nNo.\n11. If not volunteer, what salary per month is promised? $ 60.00\n12. To begin\ndate of sailing\n13. What allowance, if any, for transportation in United States? $ in New York, Not\nnecessary\n14. What allowance, if any, for transportation (steamship)? Yes, both ways\n15. What allowance, if any, for living expenses prior to departure? $\nnone\n16. What allowance, if any, for uniform equipment? $ yes, regulation equipment\n17. What allowance, if any, for living expenses abroad? $\nyes, regulation allowance\n18. Is there to be an assignment of part or all of salary?\n19. Has the proper form been sent to the Life Extension Institute?\nDivision of Transportation,\nPLEASE LEAVE THE FOLLOWING LINES BLANK.\nCorrespondence checked:\nNote\nForms 1-2-25\n4/8/18\nG-ac-,\n4/8\nMailed 4/8/18\nClerk of the\nCourt at\nApplication for passport filed\nDate\nIssued\nReservation\nCancelled\nCabled\nCancelled"
}