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M
an
a
of
F.
5
Form B.P.-604
Revised May 20,1918
TOP SHEET
Fran,
Y
D
Upper portion for Divisional Record. Also see last portion of application form.
c,
I
Recommended by attantic Division for enrollment under Requisition nurse
ce
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. yes
Name
alice Murphy
Street Address 208 W. 84 street
City New ynb City
Temporary Address to what date
PLEASE CHECK OR FILL OUT BLANKS WHERE POSSIBLE.
LANGUAGES SPOKEN
LOCATION OF
E-EXCELLENT
G-GOOD F-FAIR
SERVICE DESIRED
Proposed length of
stay One year
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 ?
Salary over expense allowance if any
Allowance for living prior to departure
Requisition for uniform and equipment
Allowance for transportation overseas and return
Allowance for transportation in U. S. and return
PHYSICAL REPORT
AGE 44
Loyalty investigation conducted by (Name of agency employed, if any)
Date Reported
Date examined
and Report
firt B-1920
name requested
List of Loyalty indorsements:
Have passport application and pictures been forwarded
Date
Headquarters Record (Initial, date, and "O. K." where acceptable)
FILE RECORD
CLASSIFICATION
DATE
REFERRED TO
Full papers
Provisional Enrollment
War Dept.
Physical
Actual Enrollment
REMARKS
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Context sent to Scholar
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"ocrText": "M\nan\na\nof\nF.\n5\nForm B.P.-604\nRevised May 20,1918\nTOP SHEET\nFran,\nY\nD\nUpper portion for Divisional Record. Also see last portion of application form.\nc,\nI\nRecommended by attantic Division for enrollment under Requisition nurse\nce\nIf not American citizen, so state, and give citizenship\nIs applicant available leaving home two weeks from date full papers are rec'd in Washington. yes\nName\nalice Murphy\nStreet Address 208 W. 84 street\nCity New ynb City\nTemporary Address to what date\nPLEASE CHECK OR FILL OUT BLANKS WHERE POSSIBLE.\nLANGUAGES SPOKEN\nLOCATION OF\nE-EXCELLENT\nG-GOOD F-FAIR\nSERVICE DESIRED\nProposed length of\nstay One year\nFull Volunteer\nVolunteer with expenses met by Red Cross\nIs allowance for living abroad to be left to discretion of foreign Commission?\nAllowance for living abroad if not left to discretion of foreign Commission ?\nSalary over expense allowance if any\nAllowance for living prior to departure\nRequisition for uniform and equipment\nAllowance for transportation overseas and return\nAllowance for transportation in U. S. and return\nPHYSICAL REPORT\nAGE 44\nLoyalty investigation conducted by (Name of agency employed, if any)\nDate Reported\nDate examined\nand Report\nfirt B-1920\nname requested\nList of Loyalty indorsements:\nHave passport application and pictures been forwarded\nDate\nHeadquarters Record (Initial, date, and \"O. K.\" where acceptable)\nFILE RECORD\nCLASSIFICATION\nDATE\nREFERRED TO\nFull papers\nProvisional Enrollment\nWar Dept.\nPhysical\nActual Enrollment\nREMARKS"
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