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Revised May 20, 1918.
TOP SHEET
Upper portion for Divisional Record. Also see last portion of application form.
Recommended by attactic Division for enrollment under Requisition luerring
If not American citizen, so state, and give citizenship
Is applicant available leaving home two weeks from date full papers are received in Washington yes
Name Sydia Corover
Street Address. 672 West 74st
City Planfield, by
Temporary Address to what date
Please check or fill out blanks where possible
Languages Spoken
Location of
E-Excellent
Service desired
Proposed length of stay
G-Good. F-Fair
Full volunteer
Volunteer with expenses met by Red Cross
Is allowance for living abroad to be left to discretion of
foreign Commission
Allowance for living abroad if not left to discretion of
foreign Commission $70
Salary over expense allowance if any
Allowance for living prior to departure $4 per day
Requisition for uniform and equipment
Allowance for transportation overseas and return
Allowance for transportation in U. S. and return
Physical Report
Age 36
Loyalty investigation conducted by (name of agency employed,
Date Reported
Date examined
and Report
if any)
leational Commercial agency
List of loyalty indorsements:
lur F.g. Coeu
lur wall ace Nauder hoof
luro grace Squires
Have passpoPt application and pictures been forwarded
Date
HEADQUARTERS RECORD (Initial, date and "O. K." where acceptable)
File Record
Date
Referred to
Classification
Full Papers
Provisional Enrollment
a
War Department 9/28/15
Physical
Actual Enrollment
REMARKS
Page data
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Document data
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- Core
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- Type
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Context sent to Scholar
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Document source extras
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Page context
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"ocrText": "Revised May 20, 1918.\nTOP SHEET\nUpper portion for Divisional Record. Also see last portion of application form.\nRecommended by attactic Division for enrollment under Requisition luerring\nIf not American citizen, so state, and give citizenship\nIs applicant available leaving home two weeks from date full papers are received in Washington yes\nName Sydia Corover\nStreet Address. 672 West 74st\nCity Planfield, by\nTemporary Address to what date\nPlease check or fill out blanks where possible\nLanguages Spoken\nLocation of\nE-Excellent\nService desired\nProposed length of stay\nG-Good. F-Fair\nFull volunteer\nVolunteer with expenses met by Red Cross\nIs allowance for living abroad to be left to discretion of\nforeign Commission\nAllowance for living abroad if not left to discretion of\nforeign Commission $70\nSalary over expense allowance if any\nAllowance for living prior to departure $4 per day\nRequisition for uniform and equipment\nAllowance for transportation overseas and return\nAllowance for transportation in U. S. and return\nPhysical Report\nAge 36\nLoyalty investigation conducted by (name of agency employed,\nDate Reported\nDate examined\nand Report\nif any)\nleational Commercial agency\nList of loyalty indorsements:\nlur F.g. Coeu\nlur wall ace Nauder hoof\nluro grace Squires\nHave passpoPt application and pictures been forwarded\nDate\nHEADQUARTERS RECORD (Initial, date and \"O. K.\" where acceptable)\nFile Record\nDate\nReferred to\nClassification\nFull Papers\nProvisional Enrollment\na\nWar Department 9/28/15\nPhysical\nActual Enrollment\nREMARKS"
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