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Top Sheet
Upper portion for Bivisional Record. Also see last portion of application
form.
Recommended by Penn. Division for enrollment under Requisition
If not American citizen, so state, and give citizenship
Is applicant available leaving home two weeks from date full papers are rec'd in
Washington
Name
Clark, Mrs Martha Selby,
Street Address 658 N. Frazier st
Phidadelphia Pa
Temporary Address to what date
5
City
Please check or fill out blanks where possible.
Languages spoken
Location of
Proposed length of stay
E-Excellent
Service desired
Full Volunteer
No
G-Good F-Fair
Volunteer with expenses met by Red Cross
No
Is allowance for living abroad to be left to
discretion of foreign Commission? Yes
Allowance for living abroad if not left to
discretion of foreign Commission?
salary over expense allowance if any $.60.00
Allowance for living prior to departure Yes
Requisition for uniform and equipment
Yes
Allowance for transportation overseas and re-
turnYes,both ways
Allowance for transportation in U.S.and return
Yes,both ways
Physical Report
Age
40
Loyalty investigation conducted by (Name of agency
Date examined Yes
Date Reported
employed, if any)
and Report
Pennsylvania Division
O.K
List of Loyalty indorsements:
Pennsylvania Division
Have passport application and pictures been forwarded
Date
Headquarters Record (Initial, date, and "O.K." where acceptable)
File Record
Date
Referred to
Classification
2
Full papers
Provisional Enrollment
War Dept. 1/10/18
Physical
Actual Enrollment
Remarks
Page data
- Page
- 39
- Source index
- 0
- Type
- photo
- Media ID
- ae309a23093a0690
- Size
- unknown
Document data
- ID
- 2661244
- 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": "Top Sheet\nUpper portion for Bivisional Record. Also see last portion of application\nform.\nRecommended by Penn. Division for enrollment under Requisition\nIf not American citizen, so state, and give citizenship\nIs applicant available leaving home two weeks from date full papers are rec'd in\nWashington\nName\nClark, Mrs Martha Selby,\nStreet Address 658 N. Frazier st\nPhidadelphia Pa\nTemporary Address to what date\n5\nCity\nPlease check or fill out blanks where possible.\nLanguages spoken\nLocation of\nProposed length of stay\nE-Excellent\nService desired\nFull Volunteer\nNo\nG-Good F-Fair\nVolunteer with expenses met by Red Cross\nNo\nIs allowance for living abroad to be left to\ndiscretion of foreign Commission? Yes\nAllowance for living abroad if not left to\ndiscretion of foreign Commission?\nsalary over expense allowance if any $.60.00\nAllowance for living prior to departure Yes\nRequisition for uniform and equipment\nYes\nAllowance for transportation overseas and re-\nturnYes,both ways\nAllowance for transportation in U.S.and return\nYes,both ways\nPhysical Report\nAge\n40\nLoyalty investigation conducted by (Name of agency\nDate examined Yes\nDate Reported\nemployed, if any)\nand Report\nPennsylvania Division\nO.K\nList of Loyalty indorsements:\nPennsylvania Division\nHave passport application and pictures been forwarded\nDate\nHeadquarters Record (Initial, date, and \"O.K.\" where acceptable)\nFile Record\nDate\nReferred to\nClassification\n2\nFull papers\nProvisional Enrollment\nWar Dept. 1/10/18\nPhysical\nActual Enrollment\nRemarks"
}