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a
FORM No. 469-(3)
=
THE AMERICAN RED CROSS
ENROLLMENT FORM
on
M
W
Voyage number
From
To
DIVISION OF Files AND RECORDS,
Nursing Department
BUREAU OF PERSONNEL.
Date
2
4-15-18
Approved
1. Name
As 19024
2. Address
213 Wast 36th st. Mim
3. Temporary address, if any
4. Going to what countries
France
5. Nature of work
Infant (Swan Schedülö, N=2)
6. Suggested rank
7. Length of stay (six months or over?)
1 your or more
8. Proposed approximate date of departure
Booked
Sailed
May
9. Cable number in compliance with which above is being sent
1703
Chargeable to
10. Is appointee volunteer?
No
Appropriation No.
11. If not volunteer, what salary per month is promised? $.60.00
12. To
13. What allowance, if any, for transportation in United States? $ Yes, both
14. What allowance, if any, for transportation (steamship)? borth ways
15. What allowance, if any, for living expenses prior to departure? $. 3. o a any for tite In Now York
16. What allowance, if any, for uniform equipment? $ Yes, regutat on
17. What allowance, if any, for living expenses abroad? Yes, regulat
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?
THE AMERICAN RED CROSS
PASSPORT BUREAU,
NATIONAL HEADQUARTERS
WASHINGTON, D. c.
DEPARTMENT OF STATE,
1423 New YORK AVENUE,
WASHINGTON, D. C.
of
appointed
in the service of the American National Red Cross, expects to sail
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"ocrText": "M\na\nFORM No. 469-(3)\n=\nTHE AMERICAN RED CROSS\nENROLLMENT FORM\non\nM\nW\nVoyage number\nFrom\nTo\nDIVISION OF Files AND RECORDS,\nNursing Department\nBUREAU OF PERSONNEL.\nDate\n2\n4-15-18\nApproved\n1. Name\nAs 19024\n2. Address\n213 Wast 36th st. Mim\n3. Temporary address, if any\n4. Going to what countries\nFrance\n5. Nature of work\nInfant (Swan Schedülö, N=2)\n6. Suggested rank\n7. Length of stay (six months or over?)\n1 your or more\n8. Proposed approximate date of departure\nBooked\nSailed\nMay\n9. Cable number in compliance with which above is being sent\n1703\nChargeable to\n10. Is appointee volunteer?\nNo\nAppropriation No.\n11. If not volunteer, what salary per month is promised? $.60.00\n12. To\n13. What allowance, if any, for transportation in United States? $ Yes, both\n14. What allowance, if any, for transportation (steamship)? borth ways\n15. What allowance, if any, for living expenses prior to departure? $. 3. o a any for tite In Now York\n16. What allowance, if any, for uniform equipment? $ Yes, regutat on\n17. What allowance, if any, for living expenses abroad? Yes, regulat\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?\nTHE AMERICAN RED CROSS\nPASSPORT BUREAU,\nNATIONAL HEADQUARTERS\nWASHINGTON, D. c.\nDEPARTMENT OF STATE,\n1423 New YORK AVENUE,\nWASHINGTON, D. C.\nof\nappointed\nin the service of the American National Red Cross, expects to sail"
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