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     /~ H; ..... ....M. 0.... .. / M ....Dcpot Battalion... .% 
     
    
   
   
    
     PARTICULARS OF REC 
     
    
   
   
    
     DRAFTED UNDER MILITARY SERVICE 
     
     (Class ........ M1 .............. u...) 
     
    
   
   
    
       
     
    
   
   
    
       
     
       
     
         
     
    
   
   
    
     l. Surname ............ . ............................................................................... 
     
     2. Christian name. .. .. .. 
     
    
   
   
    
     3. Present address ................. 
     
    
   
   
    
     4. Military Service Act letter and number... 3” Jifé/Z 
     
    
   
   
    
     (If man in defaultmr, 122.. has not reliatflcd under Proclamation this (act aha-11d be stated town: 
     
    
   
   
    
     5. Date of birth ........... .. .. /6,1. 48;; ............. . ................ 
     
    
   
   
    
     6. Place of birth. WW _/ £7 e/ 
     
    
   
   
    
     (tow-r1. township or county and country] 
     
    
   
   
    
     . 7. Married widower or single... . gm .4, ....................... 
     
     8. Religion ........................ /25M é' ............................................. 
     
     9 Trade or calling ............. VZ .. . ._ . 
     
    
   
   
    
     10. Name of next—of—kin ................................. 7% ............. . ...................... 
     
    
   
   
    
         
     
    
   
   
    
        
     
    
   
   
    
       
     
    
   
   
    
       
     
    
   
   
    
     11 Relationship of next of— kin 
     
    
   
   
    
     w 
     
    
   
   
    
     12. Addrws of next-0f»kin,.. ........................................................ / ..... do 
     
    
   
   
    
     13. 'Wllethcrat present a member of the Active Militia. M 
     
    
   
   
    
     14 Particulars of previous military or naval service, if any ......... 777/”- . . 
     
    
   
   
    
     15. Medical Examination under Military Service Act. — 
     
    
   
   
    
     ........................................ (b) Da.1e:7”,7w/VG9 
     
    
   
   
    
       
     
    
   
   
    
       
     
    
   
   
    
     (a) Place.. 
     
    
   
   
    
       
     
    
   
   
    
     http://data2.archives.ca/cef/gatZ/O9l l92a.gif l 0/16/02