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Form No. 469-(2)
THE AMERICAN RED CROSS
ENROLLMENT FORM
M
W
Voyage number
THE DIVISION OF TRANSPORTATION,
From Nucsing Department
To
BUREAU OF PERSONNEL.
Date August 5, 1918.
Approval of Director,
Approved Clara why
Bureau of Personnel
1. Name Kathryn Magdelene,
Butish
5
T
2. Address
513 Walnut Street, Jenkintown, Pa.
+
3. Temporary address, if any
5
4. Going to what countries
France.
5. Nature of work
Nurding.
6. Suggested rank
M
7. Length of stay (six months or over?) 1 year or more
8. Proposed approximate date of departure
Booked
Sailed 11/30
9. Cable number in compliance with which above is being sent MN-1
10. Is appointee volunteer?
No
11. If not volunteer, what salary per month is promised ? $60.00
12. To begin
13. What allowance, if any, for transportation in United States? $To New York and return.
14. What allowance, if any, for transportation (steamship) ? $ To destination and return.
15. What allowance, if any, for living expenses prior to departure ? .00 day from. date requested
to
report in New York to day of sailing.
16. What allowance, if any, for uniform equipment ? $ Requisitioned at New York office.
17. What allowance, if any, for living expenses abroad ? $ Yes, 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?
Division of Transportation,
PLEASE LEAVE THE FOLLOWING LINES BLANK.
Correspondence checked
Note
Forms
Mailed
Clerk of the
Court at
Application for passport filed
Date
Issued
Reservation
Cancelled
Cabled
Cancelled
Page data
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- Source index
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- Type
- photo
- Media ID
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Document data
- ID
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- Core
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- Type
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DTO data
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Context sent to Scholar
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Document source metadata
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Document source extras
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Page context
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"ocrText": "Z\ne\na\nForm No. 469-(2)\nTHE AMERICAN RED CROSS\nENROLLMENT FORM\nM\nW\nVoyage number\nTHE DIVISION OF TRANSPORTATION,\nFrom Nucsing Department\nTo\nBUREAU OF PERSONNEL.\nDate August 5, 1918.\nApproval of Director,\nApproved Clara why\nBureau of Personnel\n1. Name Kathryn Magdelene,\nButish\n5\nT\n2. Address\n513 Walnut Street, Jenkintown, Pa.\n+\n3. Temporary address, if any\n5\n4. Going to what countries\nFrance.\n5. Nature of work\nNurding.\n6. Suggested rank\nM\n7. Length of stay (six months or over?) 1 year or more\n8. Proposed approximate date of departure\nBooked\nSailed 11/30\n9. Cable number in compliance with which above is being sent MN-1\n10. Is appointee volunteer?\nNo\n11. If not volunteer, what salary per month is promised ? $60.00\n12. To begin\n13. What allowance, if any, for transportation in United States? $To New York and return.\n14. What allowance, if any, for transportation (steamship) ? $ To destination and return.\n15. What allowance, if any, for living expenses prior to departure ? .00 day from. date requested\nto\nreport in New York to day of sailing.\n16. What allowance, if any, for uniform equipment ? $ Requisitioned at New York office.\n17. What allowance, if any, for living expenses abroad ? $ Yes, regulation allowance.\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?\nDivision of Transportation,\nPLEASE LEAVE THE FOLLOWING LINES BLANK.\nCorrespondence checked\nNote\nForms\nMailed\nClerk of the\nCourt at\nApplication for passport filed\nDate\nIssued\nReservation\nCancelled\nCabled\nCancelled"
}