| Show i REGISTRATION CARD 1 Name 1 Name in full Age in years Given name Family n name name me 2 Home 2 Home address No Street City State 4 Are 4 Are you 1 a natural born citizen 2 a naturalized citizen 3 a an alien allen 4 or or r have you declared your your intention to become a citizen citizen citizen citi citi- zen specify which 0 Where 5 5 5 Where w were re you yon born State State Nation Town 6 If 6 If not a citizen citizen of pf what country countr are arc you TOU a citizen or subject 7 What 7 What Is your present trade occupation or office 8 By 8 By home employed Where h re employed Have I-Have 9 Have you a father mother wife child under 12 2 y years rS or t a sister or r brother under 12 years years solely dependent on yo you for support specify specify specify which t. t 0 0 10 10 Married Married or single which Race specify which 0 11 What It-What What military service have you had Rank Branch Years 0 0 n nation n or state 12 12 Do Do you rou claim exemption from draft specify grounds I affirm I I I have verified above answers and d that hat they are true 0 7 fr Signature or mark person Is of African ab des en tear off oft this corner I |
