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Form No. 469 (4) Revised 4-1-20 THE AMERICAN RED CROSS ENROLLMENT FORM To Department of Nursing, Date of Enrollment. August 19. 1921 Washington, D. C. (in cases of nurses.) Approved by Claraways Title. Director, Nursing Service 1. Name Annie .E. Slack (British) 2. Date of birth Nov. 1, 1885 3. Permanent address (home) 317 West. 45th.St., N.Y.H. Nurses. Club, New York City 4. Address from which enrolled. 317 West. 45th. St., N.Y.H. Nurses' Club, New York City 5. Temporary address, if any (for sailing instructions) 8. West 16th Sta New York Hospital New York City\ until Sept. 1, 1921 6. Name, address and relationship of person to be notified in emergency Father., W.A. Slack, Godwin. Estate, St, Kitts, B.W.I. 7. Country to which assigned, (subject to change by foreign commission.) Serbia 8. Nature of work Enrolled Red. Cross Nurse 9. Suggested rank 10. Proposed duration of enrollment, (subject to termination at discretion of foreign commission.) one Year 11. Proposed approximate date of departure Summoned Sailed 9/10/21 12. Requested by cable number 22948 or letter from dated 13. Salary per month $80 14. Beginning Day. of sailing 15. Allowance for transportation in United States None 16. Allowance for steamship or other transportation to destination and. return 17. Allowance for living expenses in United States None 18. Allowance for uniform Yes. Requisitioned at New York Office 19. Allowance for living expenses abroad Yes. Regulation allowance 20. Is there an assignment of salary? INSTRUCTIONS TO WORKER Transportation in United States (Item 15) will be paid only from place of enrollment (Item 4) to port of embarkation and return. When allowances mentioned above are to be paid in America payment will be made by officer of Per- sonnel Department at Port of Embarkation. In case you wish to assign part of your salary to anyone in United States please execute a "Salary assignment" in triplicate on prescribed form at Port of Embarkation. Questions pertaining to rank are determined by the Commission to which individual is assigned, and any reference to rank in the above form is a suggestion only. I have carefully noted and accept the above. (Signed) "Ryndam" /

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    "ocrText": "Form No. 469 (4)\nRevised 4-1-20\nTHE AMERICAN RED CROSS\nENROLLMENT FORM\nTo Department of Nursing,\nDate of Enrollment. August 19. 1921\nWashington, D. C.\n(in cases of nurses.)\nApproved by Claraways\nTitle. Director,\nNursing Service\n1. Name\nAnnie .E. Slack (British)\n2. Date of birth Nov. 1, 1885\n3. Permanent address (home) 317 West. 45th.St., N.Y.H. Nurses. Club, New York City\n4. Address from which enrolled. 317 West. 45th. St., N.Y.H. Nurses' Club, New York City\n5. Temporary address, if any (for sailing instructions)\n8. West 16th Sta New York Hospital\nNew York City\\ until Sept. 1, 1921\n6. Name, address and relationship of person to be notified in emergency\nFather., W.A. Slack, Godwin. Estate, St, Kitts, B.W.I.\n7. Country to which assigned, (subject to change by foreign commission.)\nSerbia\n8. Nature of work Enrolled Red. Cross Nurse 9. Suggested rank\n10. Proposed duration of enrollment, (subject to termination at discretion of foreign commission.)\none Year\n11. Proposed approximate date of departure\nSummoned\nSailed 9/10/21\n12. Requested by cable number\n22948\nor letter from\ndated\n13. Salary per month\n$80\n14. Beginning Day. of sailing\n15. Allowance for transportation in United States\nNone\n16. Allowance for steamship or other transportation to destination and. return\n17. Allowance for living expenses in United States\nNone\n18. Allowance for uniform\nYes. Requisitioned at New York Office\n19. Allowance for living expenses abroad\nYes. Regulation allowance\n20. Is there an assignment of salary?\nINSTRUCTIONS TO WORKER\nTransportation in United States (Item 15) will be paid only from place of enrollment (Item 4) to port\nof embarkation and return.\nWhen allowances mentioned above are to be paid in America payment will be made by officer of Per-\nsonnel Department at Port of Embarkation.\nIn case you wish to assign part of your salary to anyone in United States please execute a \"Salary\nassignment\" in triplicate on prescribed form at Port of Embarkation.\nQuestions pertaining to rank are determined by the Commission to which individual is assigned, and\nany reference to rank in the above form is a suggestion only.\nI have carefully noted and accept the above.\n(Signed)\n\"Ryndam\"\n/"
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