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FORM No. 469-(4)
THE AMERICAN RED CROSS
Mr
ENROLLMENT FORM
M
W
Voyage number
From Norsing Department.
To
THE New YORK DIVISIONAL OFFICE,
3
BUREAU OF PERSONNEL.
Date Jum 21, 1918.
L.
at
Approved Clara D. Noyos.
1. Name
Work, Marjorie L.
2. Address 346 Central Avenue , Oxange, N. J.
3. Temporary address, if any
4. Going to what countries Frnne.
5. Nature of work Mursing/
6. Suggested rank
7. Length of stay (six months or over?) 1 yeur or more.
8. Proposed approximate date of departure July 17th.
Booked
Sailed
9. Cable number in compliance with which above is being sent Sman schedule.
10. Is appointee volunteer?
370
Chargeable to
Appropriation No.
66.00
11. If not volunteer, what salary per month is promised?
July 14th.
12. To begin
13. What allowance, if any, for transportation in United States? $
Yes, both Ways.
14. What allowance, if any, for transportation (steamship)? $
Yes, both mays.
15. What allowance, if any, for living expenses prior to departure? $
4.00 a day for tim in New Yorkt,
16. What allowance, if any, for uniform equipment? $ requisitions at New York office.
17. What allowance, if any, for living expenses abroad? $ Yos, 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?
APPOINTEE'S SIGNATURE
(To be affixed in New York office before sailing.)
I have noted carefully the above and found it correct.
(Signed)
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"ocrText": "I\nFORM No. 469-(4)\nTHE AMERICAN RED CROSS\nMr\nENROLLMENT FORM\nM\nW\nVoyage number\nFrom Norsing Department.\nTo\nTHE New YORK DIVISIONAL OFFICE,\n3\nBUREAU OF PERSONNEL.\nDate Jum 21, 1918.\nL.\nat\nApproved Clara D. Noyos.\n1. Name\nWork, Marjorie L.\n2. Address 346 Central Avenue , Oxange, N. J.\n3. Temporary address, if any\n4. Going to what countries Frnne.\n5. Nature of work Mursing/\n6. Suggested rank\n7. Length of stay (six months or over?) 1 yeur or more.\n8. Proposed approximate date of departure July 17th.\nBooked\nSailed\n9. Cable number in compliance with which above is being sent Sman schedule.\n10. Is appointee volunteer?\n370\nChargeable to\nAppropriation No.\n66.00\n11. If not volunteer, what salary per month is promised?\nJuly 14th.\n12. To begin\n13. What allowance, if any, for transportation in United States? $\nYes, both Ways.\n14. What allowance, if any, for transportation (steamship)? $\nYes, both mays.\n15. What allowance, if any, for living expenses prior to departure? $\n4.00 a day for tim in New Yorkt,\n16. What allowance, if any, for uniform equipment? $ requisitions at New York office.\n17. What allowance, if any, for living expenses abroad? $ Yos, regulation\nallowance.\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?\nAPPOINTEE'S SIGNATURE\n(To be affixed in New York office before sailing.)\nI have noted carefully the above and found it correct.\n(Signed)"
}