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1 I & 0 e I 9 [II Top Sheet Upper portion for Bivisional Record. Also see last portion of application form Mr Recommended by AtlanticDivision for enrollment under Requisition 5 y If not American citizen, so state, and give citizenship Is applicant available leaving home two weeks from date full papers are rec'à in E Washington - Name Elizabeth DeLuise Rohrback Street Address 507 West 111th st D - 2 City New York city Temporary Address to what date 8 Please check or fill out blanks where possible S Languages spoken Location of Proposed length of stay 1 year or more E-Excellent Service desired Full Volunteer No G-Good F-Fair Volunteer with expenses met by Red Cross No eth 1b Is allowance for=living abroad to be left to 5 discretion of foreign Commission?Yes Allowance for living abroad if not left to discretion of foreign Commission? 5 salary over expense allowance if any $60.00 I Allowance for living prior to departure Yes a Requisition for uniform and equipment Yes Allowance for transportation overseas and re- C turn Tes,both ways 5 C Allowance for transportation in U.S and return Yes,bath ways Physical Report Age 31 Loyalty investigation conducted by (Name of agency Date examined YeaDate Reported employed, if any) and Report Atlantic Division : O.K. List of Loyalty indorsements: A.P.L.Atlantic Division Have passport 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 War Dept. 6/8/18 Physical Actual Enrollment Remarks

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2661650
Core
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Type
document
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Document source extras
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Page context
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    "ocrText": "1\nI\n&\n0\ne\nI\n9\n[II\nTop Sheet\nUpper portion for Bivisional Record. Also see last portion of application\nform\nMr\nRecommended by AtlanticDivision for enrollment under Requisition\n5\ny\nIf not American citizen, so state, and give citizenship\nIs applicant available leaving home two weeks from date full papers are rec'à in\nE\nWashington\n-\nName\nElizabeth DeLuise Rohrback Street Address 507 West 111th st\nD\n-\n2\nCity\nNew York city\nTemporary Address to what date\n8\nPlease check or fill out blanks where possible\nS\nLanguages spoken\nLocation of\nProposed length of stay 1 year or more\nE-Excellent\nService desired\nFull Volunteer\nNo\nG-Good F-Fair\nVolunteer with expenses met by Red Cross No\neth\n1b\nIs allowance for=living abroad to be left to\n5\ndiscretion of foreign Commission?Yes\nAllowance for living abroad if not left to\ndiscretion of foreign Commission?\n5\nsalary over expense allowance if any $60.00\nI\nAllowance for living prior to departure\nYes\na\nRequisition for uniform and equipment Yes\nAllowance for transportation overseas and re-\nC\nturn\nTes,both ways\n5\nC\nAllowance for transportation in U.S and return\nYes,bath ways\nPhysical Report\nAge 31\nLoyalty investigation conducted by (Name of agency\nDate examined\nYeaDate Reported\nemployed, if any)\nand Report\nAtlantic Division\n:\nO.K.\nList of Loyalty indorsements:\nA.P.L.Atlantic Division\nHave passport 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\nWar Dept. 6/8/18\nPhysical\nActual Enrollment\nRemarks"
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