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FORM NNI-140
EMPLOYEE'S DECLARATION
EMPLOYEE VOLUNTARILY MAKES THE FOLLOWING STATEMENT:-
(200)
Name
Day
Elithe
Ina
(16a)
Il non
(LAST) (16a)
(MIDDLE) (16b)
(FIRST) (16 c)
(16b)
Nickname or alias (17).
None
aug
(239)
(16c)
(17)
OL
Present address
433 Lincoln Ave.
Orange
New Jersey
(280)
(18a)
(STREET) (18a)
(CITY) (18b)
(STATE) (18c)
(18b)
Normal Home address 425 01d Boonton Ro., Boonton
New Jersey
(ase)
(18c)
(STREET) (19a)
(CITY) (19b)
(STATE) (19c)
(19a)
Church attended (21a) Reformed
(19b)
(20)
Name of pastor (21b) Ne Burggraaff
(19c)
Sex (22a)
F
Color (22b)
W
Weight (22c) 100 lbs.
(20)
PHOTOGRAPH
(21a)
STAPLE-DO NOT PASTE
Height
(22d) 61-1/2" Color of hair (22e) Brown
leyes (22f) Blue
(21b)
WRITE NAME ON REVERSE SIDE.
(22a)
PHOTOGRAPH MUST HAVE BEEN TAKEN
MHICH vise
NOT MORE THAN 30 DAYS PRIOR To
Place of birth (23a)
Boonton; N. J. date (23b) Feb. 7, 1916
(22b)
Otelaki
FILING THIS QUESTIONNAIRE.
CONIALA
(22 c
Citizenship (23c) United States citizen by birth
(22d)
LOE OE THE TVM:
(IF NATURALIZED GIVE PLACE DATE AND NUMBER OF CERTIFICATE)
(22e)
(22f)
If you are an alien and have been a resident of the U. S. for five years or more and have not become a citizen, state why you have not. (23d)
(23a)
OF
(23b)
(31)
(23c)
(23d)
NOTE: IF YOU ARE AN ALIEN AND ENGAGED ON CLASSIFIED OR AERONAUTICAL CONTRACTS, SUBMIT FORM NNI-132.
(24a)
(33)
PARENTS
N A M E
PLACE OF BIRTH
CITIZENSHIP
(24b)
MOTHER
(24a)
Adele T. Brush
(24b)
Midland Park, N. J.
(24c)
yes
(24c)
FATHER
(25a)
George W. Brush
(25b)
Brooklyn, N. Y.
(25c)
yes
(25a)
STATEMENT OF U. S. AND FOREIGN MILITARY AND NAVAL RECORD: If any, check to indicate branch and other information.
(25b)
(26a) if none, check here:
X
(25c)
COUNTRY(26b)
ARMY (26c)
NAVY (26d)
MARINE CORPS (26e)
COAST GUARD (26f)
WAR VETERAN (26g)
PENSIONER (26h)
VETERAN'S BUREAU (261)
(26a)
y
BENEFICIARY
(26b)
(26c)
(339)
(26d)
Enlisted (26i).
(26e)
Discharged (26k)
Rank (261).
Organization (26m)
(26f)
Type of discharge (26n)
Total length of service (260)
(26g)
STATEMENT OF EDUCATION-Giv complete records beginning with grammer school: (27)
(26h)
SCHOOL OR, INSTITUTION (27a)
YEARS (27c)
LOCATION (27b)
DEGREES (27e)
(261)
ATTENDED
GRADUATED (27d)
OR REMARKS
(26j)
(31q)
Boonton Grammar School
Boonton,
9
1929
60
(26k)
(261)
Boonton High School
Boonton, N. J.
4
1933
(219)
(26m)
Orange Memorial Tr. Sch.
Orange, N.
3
1937
staffor
(26n)
(21P)
(260)
(27)
(318)
(27a)
(27b)
TRADES AND PROFESSIONS (28a)
YEARS PRACTICE (28b)
PROFICIENCY (28c)
(27c)
Registered nurse
1937-42
(27d)
(27e)
STATEMENT OF PRINCIPAL EMPLOYMENT IN THE UNITED STATES AND ABROAD SINCE 1930: (29)
(28a)
NAME AND ADDRESS OF EMPLOYER (29a)
(29c)| LENGTH OF
REASON (29e)
POSITION AND CHARACTER OF WORK (29b)
SALARY
SERVICE (29d)
FOR LEAVING
(28b)
OE BETVLIAES:
(28 c)
Orange Memorial Hospital
Staff nurse
$1080.
5 yrs.
(300)
(29a)
(29b)
(201)
(sop)
(20)
(29 c)
2IVLEWEAL OL VAD VELICTE2 OL MHICH ENGTOZEE 12 VALHOB: (20)
(29d)
1
(29 e)
(2)
Page data
- Page
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- Type
- photo
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Document data
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"ocrText": "FORM NNI-140\nEMPLOYEE'S DECLARATION\nEMPLOYEE VOLUNTARILY MAKES THE FOLLOWING STATEMENT:-\n(200)\nName\nDay\nElithe\nIna\n(16a)\nIl non\n(LAST) (16a)\n(MIDDLE) (16b)\n(FIRST) (16 c)\n(16b)\nNickname or alias (17).\nNone\naug\n(239)\n(16c)\n(17)\nOL\nPresent address\n433 Lincoln Ave.\nOrange\nNew Jersey\n(280)\n(18a)\n(STREET) (18a)\n(CITY) (18b)\n(STATE) (18c)\n(18b)\nNormal Home address 425 01d Boonton Ro., Boonton\nNew Jersey\n(ase)\n(18c)\n(STREET) (19a)\n(CITY) (19b)\n(STATE) (19c)\n(19a)\nChurch attended (21a) Reformed\n(19b)\n(20)\nName of pastor (21b) Ne Burggraaff\n(19c)\nSex (22a)\nF\nColor (22b)\nW\nWeight (22c) 100 lbs.\n(20)\nPHOTOGRAPH\n(21a)\nSTAPLE-DO NOT PASTE\nHeight\n(22d) 61-1/2\" Color of hair (22e) Brown\nleyes (22f) Blue\n(21b)\nWRITE NAME ON REVERSE SIDE.\n(22a)\nPHOTOGRAPH MUST HAVE BEEN TAKEN\nMHICH vise\nNOT MORE THAN 30 DAYS PRIOR To\nPlace of birth (23a)\nBoonton; N. J. date (23b) Feb. 7, 1916\n(22b)\nOtelaki\nFILING THIS QUESTIONNAIRE.\nCONIALA\n(22 c\nCitizenship (23c) United States citizen by birth\n(22d)\nLOE OE THE TVM:\n(IF NATURALIZED GIVE PLACE DATE AND NUMBER OF CERTIFICATE)\n(22e)\n(22f)\nIf you are an alien and have been a resident of the U. S. for five years or more and have not become a citizen, state why you have not. (23d)\n(23a)\nOF\n(23b)\n(31)\n(23c)\n(23d)\nNOTE: IF YOU ARE AN ALIEN AND ENGAGED ON CLASSIFIED OR AERONAUTICAL CONTRACTS, SUBMIT FORM NNI-132.\n(24a)\n(33)\nPARENTS\nN A M E\nPLACE OF BIRTH\nCITIZENSHIP\n(24b)\nMOTHER\n(24a)\nAdele T. Brush\n(24b)\nMidland Park, N. J.\n(24c)\nyes\n(24c)\nFATHER\n(25a)\nGeorge W. Brush\n(25b)\nBrooklyn, N. Y.\n(25c)\nyes\n(25a)\nSTATEMENT OF U. S. AND FOREIGN MILITARY AND NAVAL RECORD: If any, check to indicate branch and other information.\n(25b)\n(26a) if none, check here:\nX\n(25c)\nCOUNTRY(26b)\nARMY (26c)\nNAVY (26d)\nMARINE CORPS (26e)\nCOAST GUARD (26f)\nWAR VETERAN (26g)\nPENSIONER (26h)\nVETERAN'S BUREAU (261)\n(26a)\ny\nBENEFICIARY\n(26b)\n(26c)\n(339)\n(26d)\nEnlisted (26i).\n(26e)\nDischarged (26k)\nRank (261).\nOrganization (26m)\n(26f)\nType of discharge (26n)\nTotal length of service (260)\n(26g)\nSTATEMENT OF EDUCATION-Giv complete records beginning with grammer school: (27)\n(26h)\nSCHOOL OR, INSTITUTION (27a)\nYEARS (27c)\nLOCATION (27b)\nDEGREES (27e)\n(261)\nATTENDED\nGRADUATED (27d)\nOR REMARKS\n(26j)\n(31q)\nBoonton Grammar School\nBoonton,\n9\n1929\n60\n(26k)\n(261)\nBoonton High School\nBoonton, N. J.\n4\n1933\n(219)\n(26m)\nOrange Memorial Tr. Sch.\nOrange, N.\n3\n1937\nstaffor\n(26n)\n(21P)\n(260)\n(27)\n(318)\n(27a)\n(27b)\nTRADES AND PROFESSIONS (28a)\nYEARS PRACTICE (28b)\nPROFICIENCY (28c)\n(27c)\nRegistered nurse\n1937-42\n(27d)\n(27e)\nSTATEMENT OF PRINCIPAL EMPLOYMENT IN THE UNITED STATES AND ABROAD SINCE 1930: (29)\n(28a)\nNAME AND ADDRESS OF EMPLOYER (29a)\n(29c)| LENGTH OF\nREASON (29e)\nPOSITION AND CHARACTER OF WORK (29b)\nSALARY\nSERVICE (29d)\nFOR LEAVING\n(28b)\nOE BETVLIAES:\n(28 c)\nOrange Memorial Hospital\nStaff nurse\n$1080.\n5 yrs.\n(300)\n(29a)\n(29b)\n(201)\n(sop)\n(20)\n(29 c)\n2IVLEWEAL OL VAD VELICTE2 OL MHICH ENGTOZEE 12 VALHOB: (20)\n(29d)\n1\n(29 e)\n(2)"
}