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QUESTION! H All Registrants, Except Those vice Mast Answer Followii In Fall. The following is the "Question- trial? aire," which will be received within D?Pere a few days by all registrants and service of must be filled and returned within E?Alie even days. F?r?8I Registrants who have been ex- my) who empted from service must fill this G?Pers questionaire. ly physica NOTE TO CLAIMANTS?This military sc form is to be used for claiming ex- H?Pert emptton by or in respect of any reg- soldier of lstrant and for stating the grounds I?Licer of claim. Place a cross (x) in col- cd in pun umn opposite the division that J?Mem states the ground of claim. Boards liglous ori are required to consider only existing 01 grounds thus Indicated by the claim- then existi ant. bid its met CLASS I. ln any for A?Single man without depend- conv'ot'onf cnt relatives. ticipation B?'Married man. with or without ,u*i",rnnt children, who has habitually failed son *Iu to support his family. C?Married man dependent on Q?Do ; wife for support. deferred c D?Married man with or without th<* r??ioti children; or father of motherless state the < children; man not usefully engaged, each class family supported by Income inde- classified. pendent of his labor. Waiver of E?Unskilled farm labor. liefi P?Unskilled Industrial laborer. (To be G?Registrant by or in respect of other inte whom no deferred classification is waiver is claimed or made. I hereb; H?Registrant who falls to sub- emptlon 01 mlt Questlonaire and in respect of the regist: whom no deferred classification is CH; claimed or made. ? Section I?All registrants not Included in r|lanK<. any other division in this schedule. Every r CIjASS II. days afte A?Married man with children or report to father of motherless children, where which mi such wife or children or such moth- classificati erless children are not mainly de- Failure pendent upon his labor for support tus as her for the reason that there are other faise rep reasonably certain sources of ade- meanor pt quate support (exclusive of earnings prisonmen or possible earnings from the labor of the wife) available, and that the removal of the registrant will not Section deprive such dependents of support. "on Hn<' B?Married man, without chil- CXI dren, whose wife, although the reg- mac*e p,i( istrant is engaged in a useful occu- *iu,es aml pation, Is not mainly dependent up- ,ifira,eR on his labor for support, for the rea- rf^ son that the wife is skilled In some cates *ie" special class of work which she is ( no fur,he physically able to perform and in *n any which she is employed, or in whcih tjon nia('1 there is an immediate opening f0r, ,vOKU,a,i,)I her under conditions that will en-|niay ?,('e able her to support herself decently t'00, anf' and without suffering or hardship. evidente t C?Necessary skilled farm laborer re80'n,ledt I ? ,-Q in necessary agricultural enterprise. | I>?Necessary skilled industrial r'a8S laborer In necessary industrial en- <>xcePt onl terprise. have been CLASS III. count of A?Man with dependent children S^RJKS ' (not his own) but toward whom he lnstrucl stands in relation of parent. must ansv B?Man with dependent aged or,,'on8 an<1 infirm parents. torn: C?Man with dependent helpless brothers or sisters. an(' >'our D?County or municipal officer. |an(' resid E?Highly trained fireman or po- a<'<',ess? a lloaman r* f loo at Q iron i<a In aaeirloo DOflrGSt Tf1 Iivciiinu, ?11 iv-uov u /coin Ilk OT3 k ? n o of municipality. I Q- 2. F?Necessary custom house clerk. y?ur emP <3?Necessary employe of United QStates in transmission of the mails. Pat,?nH a' H?Necessary artificer or work- ('ur'nK th man in U. S. armory or arsenal. your occi I?Necessary employe in service an(' ?ince of United States. of tim? V J?'Necessary assistant associate, cUpation. or hired manager of necessary agri-' Q* cultural enterprise. have you K?Necessary highly specialized or occupa technical or mechanical expert of t*,e Period necessary industrial enterprise. j Q- 5. L?Necessary assistant or assocl- consider j ate manager of necessary industrial Q- 6enterprise. take free CLASH IV. tions, fltti A?Man whose wife or children occupatloi are mainly dependent on his labor are called for support. Q- 7. B?Mariner actually employed In itary exp? sea service of citizen or merchant in 'nK orgai the United States. of service C?Necessary sole managing, con- Q- 8. trolling, or directing head of nec- the army essary agricultural enterprise. serve If D?'Necessary sole managing, con- tion, engi f trolling or directing head or neces- leal depai sary industrial enterprise. ment, que CLASH V. Q. 9. A.?Officers?legislative. execu- ed in sch tire, or Judicial of the United States, years in 1 or of State. Territory, or District of and suhje Columbia. in technic B?Regular or duly ordained mtn- and ooun ister of religion. languages C?8todent who on May 18. 1917. French, C was preparing for ministry in recog- language nisad school. Q. 10. rHB LANCASTER |k T A V draw one line under I^J /% I L4 which L ^ ^TjL A JL^> JLwfl draw two lines under you are expert. Afte lined occupation write ? a J f C ber of years ?' cxperi Already ill v Tm hftd in that occupation . 1. Accountant. ng Questions 2. Artist, dramat wise. 3. Auto and gas en Factory; (b) Garage; system; (d) Marine f 4. Auto and motoi ions in military or naval 5. Baker. United States. ' 6. Band instrumei n enemy. 7. Barber. uem auen (not an ene- uiacKsmitli, (a, claims exemption. Forger. ion totally and permanent- Boatman. lly or mentally unfit for Boilermaker. irvlce. 11. Bookkeeper. ion morally unfit to be a 12" Butcher. the United States. 13* CanvaH workei ised pilot actually employ- Carpenter, (a) .ult of his vocation. Cabinet maker; (c) ber of well-organized re- ?^lp. ionization, organized and 15' Chemical Indus i May 18, 1917, whose 16" C,erioal workei ng creed or principles for- *7, Concrete work mbers to particpate in war Contractor, m, and whose religious ^?? ' i are against war or par- 20. Dentist, therein. 21 Detective, or Other Interested Per- 22- Draftsman, (a st Answer the Following 8*? (b) Mechanical, (c Question. ca'" , , 23. Druggist, irou claim exemption or 24 Electrlclant (a lassiflcation in respect of repa,r; (b) Motorg ant named above. If so, (p) 0utglde work; (d division of each class and in which you claim that he 25 Engineer. grad tomobile; (b) Chemic Claim for Exemption or (d) EIectrlcal; (e) M erred Classification. Mining; (g) Sanitary, signed by registrant or rested person whenever a 2<** factory *orkt used:) 27' farmer. y waive all claim of ex- 23, Carrier, r deferred classification of 2^* Fire fighter, rant named above. '0. Forest ranger. INGE OF STATUS. 31* Coundryman; er and moulder; (b) 1 11?. ltegistrant to report Grocer slM,UM- 33. Guard, eglstrant shall, within five 34 Gunamith> r the happeniog thereof. TT ou. nurneiw mane his local board any fact 36 ?or8eman. Rht change or affect his 3? Horeshoer. . on" 38. Laborer, to report change of sta- 39 Lawyer. ein required, or making a , ' f 40. Lineman, (a ort thereof, is a misde- (b) Te,ephone. inishable by one year's im- 4J Locksmlth. ' 4 2. Longshoreman RKVOOATION. 4 Lumberman. 4. Revocation of exemp- 44 Machinist, (a discharge. (b) General mechanic emptions and discharges machine; (d) Lathe; r to the date of these planer; (f) Tool mafc Regulations, and all cer- 45 Mason, in evidence thereof, are I 4g Merchant, /oked, and all such certift-! 47 Millwright, etofore issued shall have! 4g Miner, (a) r validity. loading; (b) Drill; ( case of deferred classiflca- Timbering; (e) e under these Rules and 4?) Moving pictui is the Secretary of War 50 Nurse, r such deferred classiilea- r>4 Painter. (a) any certificate issued in sign; (c) Scene, hereof, to be revoked and 52. Pattern make and the registrant to be 53 Physician, d to any less deferred rl4 Plasterer, gnated by the Secretary; 55 plumbing traf y as to such registrants as Policeman. placed in Class V on ac- 57 Printer, legal exemDtion. uo. ^uarrymun. ?QKNKRAIi QUESTIONS) 59 Raiiroad man. Lions?Every registrant tion; (b) operation; rer all the following ques-1 nance; (d) Repair, sign his name at the bot-j g9 Railway moto 61. Rigger, (a) State (a) your full name Huilding; (c) ship, present age. occupation.) 62. Salesman, ence; and (b) the name. g3 Sawmill man. ind relationship of your fi4 Seafaring mar 'alive. 65. Sheet-metal If you are employed, give Copper; (b) Iron; (c loyer's name and address. fi6 shipbuilder. Give below all the occu- 67 shoemaker, t which you have worked fi8 stableman, e last ten years, including! g9 Steam engines ipation on May 18, 1917,| (b> stationary, that date, and the length j 79 Stenographer, rju have served in each oc-, 74 Stockkeeper. 72. Structual ire How many hours per week wor]<erworked in the occupation 78 Student, tions above named during 74 Surveyor. I since May 18, 1917. 7g Tailor. In what occupation do you 7g Teacher, yourself most proficient? m m *? I ? i. i rnuiBier* Would you be willing to 78 Telegrapher, evening school instruc-j 79 Telephone ope ng you for service In some i 8q Telephone re i In the army before you! gi Tile man. I to campT j 82. Typewriter. Mention any previous mll-| 33 Veterinary, ^rlence you have had. giv-i 34 Watchmaker, ilzatlon, rank and length 86 Welder," aret! 1. 86. Wheelwright. Underline the branch of; 87 wireless open In which you prefer to1 q jj If y0l] ar selected: Artillery, avia-'any occupation not neer corps, infantry, med- j these columns, write rtment, ordinance depart-j q 12. Have you irtermaster corps. 1 v|cted of crime Schooling: Grade reach- q 13 jf your pr ool; years in high school; Jb "ypg/' state (a) tt college; name of college crjme: (b) the appro cts of specialization; years conviction; (c) the al school; name of school court. *e pursued; underline the q 74 Xre you r you speak well: English, prjBOn or reformatory Jermsn. State any other: Berving sentence or you speak. j q. is. Are you In the columns below criminal process ntmammmmmmmrnmammmmmmmmmmmmmHrnm NBWSTPBBDAY, NOV. 20, 19j7. those occupa- full details. | KKA L EMPIjOY have worked; SERIES II?PHYSICAL FITNESS' MARINE those at which Instructions?Every registrant ( Q. 1. Are you a c r each under- must answer the first two questions.. cipal official, or a cusl also the Dum- If he answers the second question ] or are you employed ence you have "Yes," he need not answer the re- States in the transn maining questions. If he answers mail, or are you a the second question "No." he must workman employed ic and other- answer all the questions. He must States armory, arsei sign his name at the end of this se- yard, or do you belor igine man, (a) ries of questions. of employees of the ; (c) Ignition Q. 1. State your height and which have been des mgines. weight stripped. President as eligible truck driver. Q. 2. Are you in sound health or are you a pilot, or mentally and physically? riner actually emploj it. Q. 3. Draw a line under any of service of a citizen the words below that describes any within the United Stu I Helper; (b) ailment or physical deficiency you (If your answer 1e may have: 1. Hlind; 2. Deaf; 3. answer any other qu "unioi <?, i^obs oi uniD; 5, Kpileptlc; not sign your name.) 6, Paralytic; 7. Insane; 8. Withered Q. 2. State the or deformed limb; 9, . your office, position, Q. 4. State In detail the names 3- Wer? you and address of the physicians by Pointed? State whic i Bridge; (b) wbom and the institutions in which Q. 4. State the House, (d) you are being treated or have been the performance of y( treated within the last 12 months, Q. 5. State how 1 itry worker. with the dates of the treatments. held such position, oi Q. 5. Are you an inmate of an employed. er" asylum, hospital, or other institution Q. 6. State the on account of any physical, mental duration of your edu< or nervous disease, disorder, or in- and experience for si jury. Q. 7. State the i Q. 6. If you answer "Yes," state work.) ) Architectur- tbe nature Qf (he ailment, and Q- How many ) Topographl- (b) naiue and iocation of tn8tttu- aame or similar grade tion. tablishment where yc ed 7 . . . . (Signature of registrant.) ) Instruments SRRIRS in_IiEf;i8I,ATIVK, EX- ****** " and dynamoB, BCTTIVE ANI> JUDICIAIi VICTION AGAIN ) W ring. OFFICERS. Q. 1. Are you a uate (a) An- ^ ^re you a federal or state religious sect or orga al* (c) Civil* legislative, executive. or judicial cree(* forbids you to ' . , ' officer7 war in any form? I ecbanical; (f) (If your answer is "No" do not name of ,he 8ect and answer any other questions and do i,s Ko^'ruini; body oi '* . . . (If your answer If inot sign your name.) Q. 2. State exact designation of ansvwI any ?,h< r (lu' I your offlce. not sign your name.) Q. 3. State (a) when you enter- Q* State the ? ed upon said duties, and (b) when organization of yoi; (a) Core mak- urn1 Q. 3. State numb. H urnace man* . /n. . . . . . x of mipti spot in tlif* XI (Signature of registrant.) 01 8urn 1 111 ll1^ u SERIES IV?MINISTERS OP Q- 4 When did i RELIGION opposition to war as Q. 1. Are yon sf regular or a cree('? duly ordained minister of religion; Q- 5. When, whei and if so. of what sect or organiza- you become a membe jtion? Q. 6. Give the r i (If your answer Is "No" do not tion of the particular answer any other questions and do tion of which you ar eleggap , nQt your name.) (Signature Q. 2. State (a) the manner hy SERIES X?DEI' which, (b) the date when, and (c) q. i. Have you a the place where you became such or aged, infirm, or .minister. or grandparents, or ) Drill press; ^ q 3 State place and nature of lfi or sister under 1! ; (c) Grinding your religious labors; (a) on June Qr a helpless brothe (e) Miller and 1917; (b) now. whatever age, mainl) :er* Q. 4. Do you follow any ad- your physical or nn ditiohal occupation? If so, what? support? SERIES V?DIVINITY STUDENTS (lf yo?r answer v. Q. 1. Were you on May 18, answer any other qu Digging and 1917, a student preparing for the not sign your name.) e) Explosives; ! ministry? q. 2. State whe Track laying, j your an8wer is "No" do not married, single, wl e expert. answer any other questions and do vorced. j not sign your name,) q. 2. if y0u are House; (b) j q 2. State the name and loca- (a) the place, (b) da tion of such school. person hv whom the r- Q. 3. Give names and locations performed. of all divinity schools you have at- Q. 4. Give the tended with dates of attendance, ship, address, and at 'es- Q. 4. Is any school mentioneo Son mainly dependen by you wholly or partially a corres- for support, pondence school? Q. 5. Which of j Q. 5. Have you ceased to he a live with you. and ho (a) Construe- student of divinity, and if so, what lived with you? (c) Mainte- your occupation? Q. 6. If any pc (Signature of registrant.) your answers do not rman. SERIES VI?MILITARY OH NAVAh state which of them Bridge; (h) SERVICE. you at any time dur Q. 1. Are you in any branch of months and for how the military service of the United Q. 7. If any sin States? a stepchild, an adop ' (If your answer is "No" do not foster child, state as worker, (a) answer any other questions and do such relationship to ) Tin. not sign your name.) Q. 8. As to es Q. 2. Give your (a) rank; (h) state when you bega organization or crops; (c) branch of to his or her support the service, and (d) mail address. Q. ft. State hot >r, (a) Motive; (Signature of registrant.) proximate total, and SERIFS VII?CITIZENSHIP. monthly amount 1 Q. 1. Are you a citizen of the port of your wife United States? during the last twel >n and steel (jf your answer is "Yes" do not Q. 10. How mud answer any more questions and do tributed to the suppr not sign your name.) er dependent during f Q. 2. I)o you claim exemption Q. 11. As to e from military service because you Mate whether such p are not a citizen? dependent on your Q. 3. Where and on what date port, were you born? Q. 12. Has any < rator. i (if you answer "Yes" to Q. 2. you or than your wife pairman. j must answer all questions and sign brother, father, moth your name.) husband, wife or chil Q. 4. On what date and place ?<ome. ace. address did you arrive In this country? o' each. Q. 5. By what vessel or other Q. 13. What wai flene, etc. means did you enter this country? come from all sour Q. 6. From what place did you nast 12 months. w *tor. come? cash, or (b) in < e an expert in q 7, Did you come to this coun- value? mentioned in try with your parents? Q. 14. How mu it here. q g Has either of your parents (be fruit of your la ever been con- been naturalized in the United physical? States? Q. 15. Give a fn eceding answer q 9 Have you ever voted or property owned le name of the registered for voting anywhere in tiust for you. whetl xlmate date of the United States; if so. where? ducing or not; and n name of the q 10. Have you ever taken out same during last 12 first papers; if so, when and where? q. h$. Do you low confined in q, n. Are yon willing to return yco jjVe in? r, either (a) to your native country and enter its q. 17, Does any (a) awaiting military service? or dependents own it on ball under (Signature of registrant,) q. is. Does any If ?o, state series VXH?Wl'IfTAI>4, KEO- ^nts own the house ?T-t KKS AND in? IS. Q. 19. Do you rent your house?* ounty or muni- if so. state the monthly rentt omhouse clerk, and name and address of landlord, by the United Q. 20. Have you paid any taxew aission of the during the last year? If so, state* in artificer or separately the amount paid on reaE in a United estate; on personal property; andf nal, or navy income tax, and name the officer tc? ig to any class whom puid. United States Q. 21. If there is any encumignated by the brance on any property you own,, for discharge state its nature and amount, are you a ma- Q. 22. State in money value al* ! *ed in the sea property owned by or held in trusfr or merchant for any person named as dependentites? q. 23. State earnings of eacto i "No" do not named dependent during preceding: BBuuiiH iiuu ao 12 months. Q. 24. State amount of contri? , designation of buttons to each dependent during: ' or occupation. s&j,l 12 months by person other tham elected or ap- you, naming such dependent, con? tributors and amounts, exact place of Q. 2 5. State amount per monthi >ur duties. you consider necessary for support ong you have of all your dependents. have been so Q. 26. Has your wife been em- i ployed during any portion of the- ] character and past 12 months? If so, state perlot? 'atlon. training of employment with dates, nature or ich position. her work, and amount of her earn? i nature of your ings. j Q. 27. Has your wife ever beeia persons of the employed? If so, in what calling? il are in the es- q, 28. Is your wife trained or iu are employ- skilled in any calling? If so. whatr 1 Q. 29. State the condition of [ CJIOU8 CON- health of your wife. | [ST WAR. Q. 30. Do you or your wife live^ l member of a wi,h her parents? (Answer fully.> U nization whose Q- 31- lf y?u have Rtated that J i particpate in y?u contribute to the support of any t f so, state the person, except your wife and chil- ? the location of <>ren state whether you live with . j,ead. such person, and how much you pay 1( i iiu rniiui tsii ... . . . . . " . .. who is in business for himself.) ve months. . . Q. ib. What are your earningp h have you eon- . , ? ^ .... Per 'lav. per week, or per month? >rt of each oth- . . ' .. , Q. 17. State whether you are in taid 12 months? ? . . business as an individual or a coach dependent. ? v ii partner, erson is wholly ^ . , . Q. 18. How mueh capital hav? labor for sup- , ... .. . you invested in said enterprise? Q. 19. How long have vou beer lependent (oth- . . ? engaged in said enterprise? or child) a _ . , Q. 20. Is said enterprise a soler. uncle, aunt , , vent, prosperous, and growing conId? If so. give cern? and occupation _ t... . Q. 21. What were your nei earnings from said business during k your total in* ,. . ? , , the past 12 months? res during the i Q. 22. How many persons are irhether (a) in . _ ... . your employ? jther thing of A ,, . Q. 2^. If you have any persoi related to you by blood, marriage, ori ch of this was . . . . , . J contract, who is in any way assist bor, mental or , . . , .. ? i ir.g or can assist in the managemerii of the enterprise, give his name an* ill statement of a^^res,s an(j state Why he can no; by or held in ja^p your place during your nb rer income-proR6I106 et income from SKIUKS xn?ACIHICI'IjTITRAL OC months. f'l'PITION own the house Q ^ Arp you enRaged ift a, agricultural enterprise? ^of your famil> yoar answer is "No" do na answer any other questions and d( of your depend- 1 he or she lives (Continued or Page 8.) * "No" do not 'or their board or subslstance to t estlons and do them or others. (Answer fully.) i SERIFS XI?INDUSTRIAL CXX'U- i) date and place RATION, it- local church. Q. 1. Are you ensaeed in an in? er of adherents dust rial enterprise necessary (1) to nited States. the maintenance of the military es? said sect adopt tablishment, or (21 to the effective* a part of its operation of the military forces, or (.1) to the maintenance of the mire and how did tional interests during the emergen? r of such sect? c>'? lame and loca- (If your answer is "No" do not" local congrega- answer any other questions and dO' ( e a member. not sign your name.) of registrant.) Q. 2. Are you an employe, or in? KNDENUY. business for yourself? wife, or child, Q. 2. Do you claim deferred* invalid parents classification on the ground that yoia , brother under are engaged in such enterprise? I years of age Q. 4. State the nature of the en? r or sister of tcrprise. ' dependent on Q. 5. State the name under ntal labor for which the enterprise is conducted, and its exact location (postoffice ad? r "No" do not dress.) estlons and do q q What is produced by sai(* enterprise? ither you are q 7 f>0 yOU give all your work? idowed, or di- jj,g time to said enterprise? Q. 8. II" not, what do you do? j married, state q. What trade name is apite, and (c) the pii^d to your job (for instance,! ceremony was "laborer." "skilled laborer," "fore-' man," "manager," etc.?) "4 name, relation- q m. State generally what! ;e of each per- duties you perform, t on your labor Q n How ,onR have you beer, engaged in the work you are now 'our dependents rto{nR? w long has each ? y. iz. state your education, , . training and experience for the work, srson named in " . , ... von are now doing, live with yon. ^ ? . , ... Q. 13. State the reasons why have lived with , ..... . ,0 you can not he easily replaced by aning the past 12 * . , other person, long a period. . , . . . (The following questions are tt :n dependent is . he answered only by a registrant ted child, or a ' who is an employee:) to to each when Q. 14. How many persons arc you began. , , , , .. . . . employed by the plant where yov ich dependent. , ' . .. . work? n to contribute ^ Q. 15. How many persons arc ' .... employed in the same kind of work h (a) the ap- . .. . .. in your plant? (b) the average ' . (The following questions are to of your sup- . , . j .in answered onlv by a registrant