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: ...... ._.....6. ....... M. D. .. ...... . ........... ...il€§l.‘ .............. Depot Battalion...........,. PARTICULARS OF REl

DRAFTED UNDER‘ MILITARY SERVIC

(Class ............. 0’39: .............. )

1. Surname.. charisma ..... . ..................................................

2. Christian name ......... Mum:- ..... . ...... - ........................

3. Present address.. (Lids-{5'33- .2?! i919 .....................

. c.‘ .- 4. Military Service Act letter and number“a""‘“Kflr’la'r;7

(I! man is defaulter, 1.9.. [m not registered under Proclamation. this Get nhoukt incubated, to;

:- -- U. - y-(r- ' Date of birth ...... égf.“.ll.9,lf...gfilt.‘p! .321"

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. I 9. Trade or calling. l‘w’w ............................................................

,1“ ’.“¢-_,J.T . 10. Name of next-oLkin. Mh‘lg'JL‘"‘ler1md.... .. . ..

11. Relationship of next-of—kin

12. Address of next-of—kmC‘I'l‘gdilzzulifl'3'z’ .............................

13. Whether at present a member of the Active Militia”??? ....................

__ a. 14. Particulars of previous military or naval service, if anyxmnt.’ ...........

1.3 Medical Examination under Military Service Act :—

(a) PIace..999???i‘i‘f???)€%.§z¥3¥b} Date..........3e§5§2m..........

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