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008 on MIOT
81-GI-S beelved
22080
(p) Names of all relatives nearer than second cousins in the DIV938 service of the United States Government.
The Buske there
the war Richlyel
5. If foreign born, give date and court of your naturalization
6. Single, married, widow, or widower.
tingle
(a) Number of dependents
(b) Full name and address of nearest relative or friend
auguA
(i)
(c) name
Full Miss of wife before marriage; ; or husband Wiehita have
legioni
(d) Birthplace of wife or nusband
(e) Nationality of wife or husband
(f) Birthplace and nationality of father of wife or husband
(g) Birthplace and nationality of mother of wife or husband
8. 7. Would Kind of you service enter preferred. foreign service (Specify.) yes (a) If so, in what country or countries Immatrial
(b) Describe fully any experience you have ever had in service of the American Red Cross.
Steve Jeffer 1979 Suppliest
9. Would you your necessary expenses?
serve without pay and defray all of
not who
(a) With only expenses defrayed for you?
(b) If not, what minimum salary would you require in addition to the defraying of your expenses?
to
IO. What University or College attended?
Year graduated
II. Can you speak French fluently?
(a) If not, to what degree, if any ?
(b) Can you translate French easily ?
(c) If not, to what degree, if any
12. What other foreign languages do you speak
(a) State extent of your knowledge of each
MURST
babolar
I3. As references? give names and addresses of three American citizens not related to
Rath, Digi you.
14. Give names and addresses of all patriotic, beneficial, social or other form of clubs, societies or other organiza-
tions based on race nationality, etc., to which you belong or have at any time belonged, since August I, 1914.
I5. If enrolled in service, name earliest date you could take up work Immunically 71
I hereby certify that the answers to the above questions are correct to the best of my knowledge and belief.
follows 30 Signature.
to bas SMIGH robism HOH (sif)
Division Personnel Committee examining application
boosea
Date of report
lls
to
and
(ss)
TEW
wom
9TB
Report of Committee. (Be specific.)
bus
Date of receipt at National Headquarters
Checked by
Comments:
wills
sits
to
VIIS
10
soivise
gdf
ai
enizuos
,
797698
lls
to
(0)
ai ylls dbidw gaivliooqa
Page data
- Page
- 13
- Source index
- 0
- Type
- photo
- Media ID
- ee209589f8b08cb1
- Size
- unknown
Document data
- ID
- 2661467
- Core
- doc
- Type
- document
DTO data
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Context sent to Scholar
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Document source extras
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"naId": 2661467,
"coverageEndDate": {
"day": 5,
"logicalDate": "1918-10-05",
"month": 10,
"year": 1918
},
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"day": 18,
"logicalDate": "1917-10-18",
"month": 10,
"year": 1917
},
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{
"description": "Ancestry Collection: 2365",
"note": "This file was scanned as part of a collaboration effort between Ancestry and the National Archives.",
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Page context
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"ocrText": "008 on MIOT\n81-GI-S beelved\n22080\n(p) Names of all relatives nearer than second cousins in the DIV938 service of the United States Government.\nThe Buske there\nthe war Richlyel\n5. If foreign born, give date and court of your naturalization\n6. Single, married, widow, or widower.\ntingle\n(a) Number of dependents\n(b) Full name and address of nearest relative or friend\nauguA\n(i)\n(c) name\nFull Miss of wife before marriage; ; or husband Wiehita have\nlegioni\n(d) Birthplace of wife or nusband\n(e) Nationality of wife or husband\n(f) Birthplace and nationality of father of wife or husband\n(g) Birthplace and nationality of mother of wife or husband\n8. 7. Would Kind of you service enter preferred. foreign service (Specify.) yes (a) If so, in what country or countries Immatrial\n(b) Describe fully any experience you have ever had in service of the American Red Cross.\nSteve Jeffer 1979 Suppliest\n9. Would you your necessary expenses?\nserve without pay and defray all of\nnot who\n(a) With only expenses defrayed for you?\n(b) If not, what minimum salary would you require in addition to the defraying of your expenses?\nto\nIO. What University or College attended?\nYear graduated\nII. Can you speak French fluently?\n(a) If not, to what degree, if any ?\n(b) Can you translate French easily ?\n(c) If not, to what degree, if any\n12. What other foreign languages do you speak\n(a) State extent of your knowledge of each\nMURST\nbabolar\nI3. As references? give names and addresses of three American citizens not related to\nRath, Digi you.\n14. Give names and addresses of all patriotic, beneficial, social or other form of clubs, societies or other organiza-\ntions based on race nationality, etc., to which you belong or have at any time belonged, since August I, 1914.\nI5. If enrolled in service, name earliest date you could take up work Immunically 71\nI hereby certify that the answers to the above questions are correct to the best of my knowledge and belief.\nfollows 30 Signature.\nto bas SMIGH robism HOH (sif)\nDivision Personnel Committee examining application\nboosea\nDate of report\nlls\nto\nand\n(ss)\nTEW\nwom\n9TB\nReport of Committee. (Be specific.)\nbus\nDate of receipt at National Headquarters\nChecked by\nComments:\nwills\nsits\nto\nVIIS\n10\nsoivise\ngdf\nai\nenizuos\n,\n797698\nlls\nto\n(0)\nai ylls dbidw gaivliooqa"
}