Registration Form 1942 |
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EfK
Form Which Will Be Used Monday
In Registering Men From 20-44
REGISTRATION CARD—{Men bom on or after February 17,1897 and on or before December 31,1921)
SERIAL NUMBEB
4
T „.„„ "
1. Name (Print)"(Fim)"(Middle)"(lot)
OBDEH NUMBEB
2. Place or Besidencb (Print)"(Number and stmt) (Town, township, village, or city) (County) (State)"(THE PLACE OF BESIDENCE GIVEN ON THE LINE ABOVE WILL DETERMINE LOCAL BOABD
JURISDICTION! UNE 2 OF REGISTRATION CERTIFICATE I WILL BE IDENTICAL]
S. MAJIINQ ADOBES^
iMauinffaddrees if other than place indicated,on line 2." If asm, insert word same) *
4. TELEPHONE
£. AGE IK YSABS
6. Place or Bbtb
Date or BlBTB
(Town or county)"(Exchange)"(Number) ■
(Mo.""""""""(DaV)""""""""(Tr."
(State or oountry)
7. NAJIE. AND ADDBESa Or PERSON WHO WILL ALWAfS ENOW YOUE ADDBBSS
8. Employee's Name and Addbess
9. Place or Employment ob Business"""" --iv i— -i
(Number sad .treat or R. F. D. number)"(Town)"(County)"(Stat."
>
I Arrow That I Hats Vebotsd Above Answxbs and That Tebt Abs Tbdb.
D. S. S. Form 1
(Revised 1-1-42)-
(ant)
OPO """ 14—21630-1
(Registrant's signature)
REGISTRAR'S REPORT
DESCRIPTION OF REGISTRANT
RACE
HEIGHT
(Approx."
WEIGHT
(Approx.)1
COMPLEXION
Sallow
White
EYES
HAIR
Light
Negro
Bine
Blonde
Buddy
Gray
Bed
Dark
Oriental
Hazel
Brown
Freckled
Brown
Black
tight brown
Indian
Black
Gray
Dark brown
Bald
Black
Filipino
Other obvious physical characteristics that will aid In identification—_
I certify that my answers are true; that the person registered has read or bas had
read to him his own answers; that I have witnessed his signature or mark and that
all of his answers of which I have knowledge are true, except as follows:"(Signature of registrar)
Registrar for Local Board-
Date of registration
(Number)" (City or oounty)"(State)"(STAMP OP LOCAL BOARD)"(Th, stamp of tbe Local Board having jurisdiction of tbe registrant
■ball be placed in the above apace) '
IS—«1630 -I
At the request of State Selective Service officials The Observer is
publishing above both sides of the form to be used in tomorrow's registration so that men eligible for the draft may familiarize themselves with
the type of information which will be required of them. If^you have
your answers ready it will speed up registration immeasurably.
Object Description
Page/Item Description
| Title | Registration Form 1942 |
| Full text | EfK Form Which Will Be Used Monday In Registering Men From 20-44 REGISTRATION CARD—{Men bom on or after February 17,1897 and on or before December 31,1921) SERIAL NUMBEB 4 T „.„„ " 1. Name (Print)"(Fim)"(Middle)"(lot) OBDEH NUMBEB 2. Place or Besidencb (Print)"(Number and stmt) (Town, township, village, or city) (County) (State)"(THE PLACE OF BESIDENCE GIVEN ON THE LINE ABOVE WILL DETERMINE LOCAL BOABD JURISDICTION! UNE 2 OF REGISTRATION CERTIFICATE I WILL BE IDENTICAL] S. MAJIINQ ADOBES^ iMauinffaddrees if other than place indicated,on line 2." If asm, insert word same) * 4. TELEPHONE £. AGE IK YSABS 6. Place or Bbtb Date or BlBTB (Town or county)"(Exchange)"(Number) ■ (Mo.""""""""(DaV)""""""""(Tr." (State or oountry) 7. NAJIE. AND ADDBESa Or PERSON WHO WILL ALWAfS ENOW YOUE ADDBBSS 8. Employee's Name and Addbess 9. Place or Employment ob Business"""" --iv i— -i (Number sad .treat or R. F. D. number)"(Town)"(County)"(Stat." > I Arrow That I Hats Vebotsd Above Answxbs and That Tebt Abs Tbdb. D. S. S. Form 1 (Revised 1-1-42)- (ant) OPO """ 14—21630-1 (Registrant's signature) REGISTRAR'S REPORT DESCRIPTION OF REGISTRANT RACE HEIGHT (Approx." WEIGHT (Approx.)1 COMPLEXION Sallow White EYES HAIR Light Negro Bine Blonde Buddy Gray Bed Dark Oriental Hazel Brown Freckled Brown Black tight brown Indian Black Gray Dark brown Bald Black Filipino Other obvious physical characteristics that will aid In identification—_ I certify that my answers are true; that the person registered has read or bas had read to him his own answers; that I have witnessed his signature or mark and that all of his answers of which I have knowledge are true, except as follows:"(Signature of registrar) Registrar for Local Board- Date of registration (Number)" (City or oounty)"(State)"(STAMP OP LOCAL BOARD)"(Th, stamp of tbe Local Board having jurisdiction of tbe registrant ■ball be placed in the above apace) ' IS—«1630 -I At the request of State Selective Service officials The Observer is publishing above both sides of the form to be used in tomorrow's registration so that men eligible for the draft may familiarize themselves with the type of information which will be required of them. If^you have your answers ready it will speed up registration immeasurably. |
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