Back to: The Wiki; Documentation; Military Records; WW1 Draft Cards
Story: TBA
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| # |
Question |
Answer |
|
(left number) |
|
|
No. |
|
| 1 |
Name; Age, in yrs |
|
| 2 |
Home Address |
|
| 3 |
Date of Birth |
|
| 4 |
Are you (1) a natural-born citizen, (2) a naturalized citizen, (3) an alien, (4) or have you declared your intention? |
|
| 5 |
Where were you born? |
|
| 6 |
If not a citizen, of what country are you a citizen or subject? |
|
| 7 |
What is your present trade, occupation, or office? |
|
| 8a |
By whom employed? |
|
| 8b |
Where employed? |
|
| 9 |
Have you a father, mother, child under 12, or a sister or brother under 12, solely dependent on you for support (specify which)? |
|
| 10a |
Married or single (which)? |
|
| 10b |
Race (specify which)? |
|
| 11 |
What military service have you had? Rank, branch, years; Nation or State |
|
| 12 |
Do you claim exemption from draft (specify grounds)? |
|
|
(signature) |
|
| R1a |
Tall, medium, or short? |
|
| R1b |
Slender, medium, or stout |
|
| R2a |
Color of eyes |
|
| R2b |
Color of hair |
|
| R2c |
Bald? |
|
| R3 |
Has person lost arm, leg, hand, foot or both eyes, or is he otherwise disabled (specify)? |
|
| |
I certify that my answers are true; that the person registered has read his own answers; that I have witness his signature, and that all of his answers of which I have knowledge are true, except as follows: |
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|
(signature of registrar) |
|
| |
Precinct |
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| |
City or County |
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| |
State |
|
|
Date of Registration |
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