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San
M
a
1
J
F.
5
Fran
T
Y
Form B. P.-604
Revised May 20, 1918
TOP SHEET
D
Upper portion for Divisional Record. Also see last portion of application form.
cis
I
Recommended by Altantee Division for enrollment under Requisition nurse
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
L
Name alice murphy
Street Address 208 W. 84 Street
City new ynk Sty
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
7et.13-1920
nine regnested
List of Loyalty indorsements:
Have passport application and pictures been forwarded
Date
Headquarters Record (Initial, date, and "O.K." where acceptable)
FILE RECORD
DATE
CLASSIFICATION
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": "San\nM\na\n1\nJ\nF.\n5\nFran\nT\nY\nForm B. P.-604\nRevised May 20, 1918\nTOP SHEET\nD\nUpper portion for Divisional Record. Also see last portion of application form.\ncis\nI\nRecommended by Altantee Division for enrollment under Requisition nurse\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\nL\nName alice murphy\nStreet Address 208 W. 84 Street\nCity new ynk Sty\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 stay 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\n7et.13-1920\nnine regnested\nList of Loyalty indorsements:\nHave passport application and pictures been forwarded\nDate\nHeadquarters Record (Initial, date, and \"O.K.\" where acceptable)\nFILE RECORD\nDATE\nCLASSIFICATION\nREFERRED TO\nFull papers\nProvisional Enrollment\nWar Dept.\nPhysical\nActual Enrollment\nREMARKS"
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