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15th on Form No. 469-(3) THE AMERICAN RED CROSS ENROLLMENT FORM I Now England Division M W AMERICAN HED GROSS Voyage number To DIVISION OF FILES AND RECORDS, Bureau of Foreigh Personnel From Nursing Depar tment BUREAU OF PERSONNEL Pro'd Date January 20, 1920. Approved . DIVISION OF RECOROS 1. Name Helen Dore Baylston . 35985 2. Address 39 Pleasant Street, Portsmouth, N.H. 3. Temporary address, if any 99 Commonwealth Ave., Baston, Mass. (Until Feb. 14, 1920) Balkans 4. Going to what countries - 5. Nature of work Enrolled Red Crass Nurse, 6. Suggested rank 1 year or more 7. Length of stay (six months or over?) 8. Proposed approximate date of departure. Booked 20530 Sailed 21/21/20 9. Cable number in compliance with which above is being sent No 10. Is appointee volunteer? Chargeable to day of for 11. If not volunteer, what salary per month is promised ? $ 70.00 New York. 12. To begin 13. What allowance, if any, for transportation in United States? to New York and return to destination and return 14. What allowance, if any, for transportation (steamship) ? $ 4.00 day from date requested to report in Now York tn day of sailing. 15. What allowance, if any, for living expenses prior to departure? yes, requisitioned at New York office. 16. What allowance, if any, for uniform equipment? $ yes, regulation allowance. 17. What allowance, if any, for living expenses abroad ? $ 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? THE AMERICAN RED CROSS PASSPORT BUREAU, NATIONAL HEADQUARTERS DEPARTMENT OF STATE, WASHINGTON, D. C. 1423 New YORK AVENUE, WASHINGTON, D. C. of appointed W in the service of the American National Red Cross, expects to sail Date of birth - April 4, 1894 I 8 9

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    "ocrText": "15th\non\nForm No. 469-(3)\nTHE AMERICAN RED CROSS\nENROLLMENT FORM\nI\nNow England Division\nM\nW\nAMERICAN HED GROSS\nVoyage number\nTo\nDIVISION OF FILES AND RECORDS,\nBureau of Foreigh Personnel\nFrom Nursing Depar tment\nBUREAU OF PERSONNEL\nPro'd\nDate January 20, 1920.\nApproved\n.\nDIVISION OF RECOROS\n1. Name\nHelen Dore Baylston . 35985\n2. Address\n39 Pleasant Street, Portsmouth, N.H.\n3. Temporary address, if any\n99 Commonwealth Ave., Baston, Mass. (Until Feb. 14, 1920)\nBalkans\n4. Going to what countries -\n5. Nature of work\nEnrolled Red Crass Nurse,\n6. Suggested rank\n1 year or more\n7. Length of stay (six months or over?)\n8. Proposed approximate date of departure.\nBooked\n20530\nSailed 21/21/20\n9. Cable number in compliance with which above is being sent\nNo\n10. Is appointee volunteer?\nChargeable\nto\nday of for\n11. If not volunteer, what salary per month is promised ? $ 70.00\nNew York.\n12. To begin\n13. What allowance, if any, for transportation in United States? to New York and return\nto destination and return\n14. What allowance, if any, for transportation (steamship) ? $ 4.00 day from date requested to report\nin Now York tn day of sailing.\n15. What allowance, if any, for living expenses prior to departure?\nyes, requisitioned at New York office.\n16. What allowance, if any, for uniform equipment? $\nyes, regulation allowance.\n17. What allowance, if any, for living expenses abroad ? $\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?\nTHE AMERICAN RED CROSS\nPASSPORT BUREAU,\nNATIONAL HEADQUARTERS\nDEPARTMENT OF STATE,\nWASHINGTON, D. C.\n1423 New YORK AVENUE,\nWASHINGTON, D. C.\nof\nappointed\nW\nin the service of the American National Red Cross, expects to sail\nDate of birth - April 4, 1894\nI\n8\n9"
}