Page 1 of l 
     
    
   
   
    
       
     
    
   
   
    
       
     
    
   
   
    
     : ...... ._.....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" 
     
    
   
   
    
     LA 
     
    
   
   
    
     . 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.......... 
     
    
   
   
    
       
     
    
   
   
    
     http://datal.archivesca/ceflxzatll/1253 l9a.2if 1 1/? I/O?