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(p) Names of all relatives nearer than second cousins in the war service of the United States Government.
None
5. If foreign born, give date and court of your naturalization
Two
6. Single, married, widow, or widower
nãom
(a) Number of dependents
(b) Full name and address of nearest relative or friend
william and Exencos
lial thy. clifton Onterio Co. N.Y.
(c) Full name of wife before marriage; or husband
Menzy Vinton
U.S.A.
(d) Birthplace of or
wife husband Rochester, Nationality of wife or husband
(f) Birthplace and nationality of father of wife or husband
U.S.A. Teirfax, Vt.
U.S.A. Troy, I.Y.
(g) Birthplace and nationality of mother of wife or husband
7. Kind of service preferred. (Specify.)
8. Would you enter foreign service?
Xes. (a) If so, in what country or countries?
(b) Describe fully any experience you have ever had in service of the American Red Cross.
None
No.
9. Would you serve without pay and defray all of your necessary expenses?
(a) With only expenses defrayed for you?
No.
(b) If not, what minimum salary would you require in addition to the defraying of your expenses?
the God by law for the Army. Corp.se
IO. What University or College attended?
syracuse Univernity Year graduated
II. Can you speak French fluently?
no
(a) If not, to what degree, if any?
Hone
None
No
(b) Can you translate French easily?
(c) If not, to what degree, if any?
I2. What other foreign languages do you speak?
llone
(a) State extent of your knowledge of each
13. As references, give names and addresses of three American citizens not related to you.
Mra. Frank E. 23 Itma thaun Pk.
Mar- c.c. 2.44 Rutgua Ster N.Y.
Mias Ann. Namer., 182 Alexondex Recheater. N.Y.
14. Give and addresses of all patriotic, beneficial, social or other form of clubs, societies or other organizations 1,
based names on race, nationality, etc., to which you belong or have at any time belonged, since August 1914.
of Delta Detta Diete, Roobostor. 11.Y
Alumne Rechester, Maznood Cizele. Reil Mork.
15. If enrolled in service, name earliest date you could take up work Auge 30. 3928.
I hereby certify that the answers to the above questions are correct to the best of my knowledge and belief.
Signature.
Division Personnel Committee examining application
Date of report
Report of Committee. (Be specific.)
Date of receipt at National Headquarters
Checked by
Comments:
22,500
Page data
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Document data
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"ocrText": "(p) Names of all relatives nearer than second cousins in the war service of the United States Government.\nNone\n5. If foreign born, give date and court of your naturalization\nTwo\n6. Single, married, widow, or widower\nnãom\n(a) Number of dependents\n(b) Full name and address of nearest relative or friend\nwilliam and Exencos\nlial thy. clifton Onterio Co. N.Y.\n(c) Full name of wife before marriage; or husband\nMenzy Vinton\nU.S.A.\n(d) Birthplace of or\nwife husband Rochester, Nationality of wife or husband\n(f) Birthplace and nationality of father of wife or husband\nU.S.A. Teirfax, Vt.\nU.S.A. Troy, I.Y.\n(g) Birthplace and nationality of mother of wife or husband\n7. Kind of service preferred. (Specify.)\n8. Would you enter foreign service?\nXes. (a) If so, in what country or countries?\n(b) Describe fully any experience you have ever had in service of the American Red Cross.\nNone\nNo.\n9. Would you serve without pay and defray all of your necessary expenses?\n(a) With only expenses defrayed for you?\nNo.\n(b) If not, what minimum salary would you require in addition to the defraying of your expenses?\nthe God by law for the Army. Corp.se\nIO. What University or College attended?\nsyracuse Univernity Year graduated\nII. Can you speak French fluently?\nno\n(a) If not, to what degree, if any?\nHone\nNone\nNo\n(b) Can you translate French easily?\n(c) If not, to what degree, if any?\nI2. What other foreign languages do you speak?\nllone\n(a) State extent of your knowledge of each\n13. As references, give names and addresses of three American citizens not related to you.\nMra. Frank E. 23 Itma thaun Pk.\nMar- c.c. 2.44 Rutgua Ster N.Y.\nMias Ann. Namer., 182 Alexondex Recheater. N.Y.\n14. Give and addresses of all patriotic, beneficial, social or other form of clubs, societies or other organizations 1,\nbased names on race, nationality, etc., to which you belong or have at any time belonged, since August 1914.\nof Delta Detta Diete, Roobostor. 11.Y\nAlumne Rechester, Maznood Cizele. Reil Mork.\n15. If enrolled in service, name earliest date you could take up work Auge 30. 3928.\nI hereby certify that the answers to the above questions are correct to the best of my knowledge and belief.\nSignature.\nDivision Personnel Committee examining application\nDate of report\nReport of Committee. (Be specific.)\nDate of receipt at National Headquarters\nChecked by\nComments:\n22,500"
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