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, • ATTEST A TION PAPER.


Folio.

• CANADIAN OVER-SEAS EXPEDITIONARY FORCE .

QUESTIONS TO BE PUT BEFORE AITESTATION.

.
, U.NSWER8~

1. What ill your name?.. .................... .... _.. ,-.... ..... ,... ...... b~.#~ 4~.- ..........

2.

3. ;:~:~::::::::~::::.::;.::~ •.•••~~~. ••.••••.•••••••..•.•.•••.•



• 4. What is the addl'6a1l of your ne;z:t;..oI-kiu ? .........
5. What is the date of yonr birth? ........................ .
6. IDa.. i. your Trade or Ce.Uing? ... .... .
.. .... C,.kd6..~.~ ... ,d .?: .... ......................... .
...... .. ..~./.....z=...../~2TL . .. . ...... ......... .... .
a~ ~

.................... .. ..................................-..
7• .A.reYOu m&rried? ................. .............. . .... ........ .. Z,.e............................... ,''. __ n ....... . ' • • • n .. . ...... .. ... ..

8..!.n you willing to be VII .


............-;;;':. .. e,.,..,'.................. ....... ,.. ..................n " ....... . • _• •••

..... :.......... ··'h.··· ··· · · ··Z··· · · ··2~~··· · ··· · ·· · ····· · ·· · ········· · ..... .
...~./.dZ"/7.,.:,: . .................. .........
.....'./
. ~-.
11.
.... ' ......................... ............ -... ..............................
/;"'"~

12.
i
I
.z:.f'M,f.~!..... (Signatnre of Witness).
I
!

=d. ~y2:~··.,,;:::~:;, :~~:~~;ih:;,·:~~~~~~;;;;~~~~~'bY :::~~


made, and I hereby enguh'0 and agree to serve in the Canadian Over-Seas Expeditionary Force, and
to be attached to any arm of the service therein, for the term of one year, or during the war now existing
between Great Britain and Germany ehould thM war last longer than one year, and for six montJl~ after
the termination of tha~ war provided His Majesty should so long require my services, or ulltillegally

Date...... ... ~..~5<.19~~ . .a~ / /,.~, ..... (Slgnature of Wltnesa)

bear
QATH TO BE TAKEN BY MAN ON ATTESTATION.

tr;~·== ~;.:;OO·~·H?s'ir~eOrg~·~h~ Fifth·:·H~o:e~~ea~~~~ll~::s~r;,i~ll~e ~~~f~ili:


..
II
in duty boll d honestly and faithfully defend Hia Majesty, Hia Heirs and SnCCe8sol1l, in Pel'BOIl, CroWll and
Dignity, against all enemies, and will observe and oooy all orders of His Majcaty, llig IIeire and Successors,
a.nd of all the ~1leraJ.e and Offioers !lOt over me. So help m God. .
I
. .(Signa~nre
. . . ..-6t. . . . . ::M.. . ... . ... _ of Recruit) I
.... ._____._.___ .. ....:.::.. /j1/,?- ............ d4{.~of'oT'o, J.~~~~:5Signo.ture of Witness) .1

CERTIFICATE OF MAGISTRATE.
The Reorllii; above-na.med was cautioned by me that if made any false answer to any of the above
questions he would be liable to be punished a! provided in ~he'A;~ Aot.
" " , questions were then read to the Reel'uit in
that answer to eaoh question lma been

before me, .,........... ........ .


"" of.~~2~t~.L~9~·-
n of .J ustioo)

I certify tha.t the above is a

..... 'p~:'''Il.~o~m~'~'''l,)
~'-=c7 ... . ~--"
M. II'. W. n.
UP,) )[. _ ls.lL
B.Q. il'7lI • In
,

I Description of ......... ~:j ~~~_ _.____............ on Enlistment, ,


~~--O~-'----..-- . - - - - - - -...- - -.--.--
.A.pparent Age .... k!!........
yearl! ............ .J.~.monthB. Distinctive marks, and marks indicating oongeniwJ •
CTo bt 4etormlnod aMOrd!I111" Iio tile !notruct1onl Ii....... ID till Reoru. peculiariti~ or previous di!!ffise.
lal;l."," for Ar:wT M<>diooJ. Sen1oeo.)
ISlIould til. M.dlal 01110 ... bo of oplllion u.at til. NelUit h .. ..",..001
~ he will. tlnle.. the man ""kn"w1ed, • • !<> &n1 PNT!onl
,.."rl"", "taoh " I llp to t;b.~ eI!eot, tor liI>e 101"""",_ of tho
A.ppr'OT:lnr;r OJII.. r~ .

~ ~.r..1:na.

Height ..... .. " .... ,........................

ii h{Gi~~!L . ~~.~f$..~ .......~.;.ID..


§~8 ' .
bls.
Rang'6 of expa.nalon.................. .

Complexion ............................7..: ~.~I,. . . . . . . . . . . .


Eyes .',................................... ::::1~................ _. . ..
H!\ir ....... ,,......... ........................ @.!~~~.-..
Church of England ............................................. .
Presbyterian ....................................................... .

Wesleyan................ ...~011.. :....... ... .... .... . ......... .


Baptist or COngrega.tionalillt...... .. ... ..... ..............

Other Promtants................................ ............... .


(D<>nomlnat:loa to b. otat.d.)
Roman Catholio .......... .. ........... .. ....... .. ............... .

Jewish ......... ........ ....... ............ ..... ..... ... ............... .

CERTIFICATE OF MEDICAL EXAMINATION. I!


i
I
I have examined the above-named Recruit !lnd find tha~ he does not present any of the> causes
of rejecpon specified in the RegnlaUonslor A.rmy Medical Services.
.~
He can see at the distance with either eye; his heart and lungs a.re healthy; he haa the ••
froo use of his joints and he deCllaffll that he is no1 subject to fin> of any description.

I Canadian

!
I
h ... Ill 011 III !no 100"'ao1o.- c.rtIlIo~to onl1" In tho .... " o:! thoo • ..,." haTO

_ ......._._............._.._......... _._•...... _ .....----._.. __ .................. _._._._.._._.._......__._._-........._-_ ••....... _......_..._--


. __. ..... _ - - - - - --
.. ---~ - ~.-----

- _.. ._._ - - _ . _ -_ . _- - _ . _- - _ . _ -
_ .....................
- --
CERTIFICATE OF OFFICER COMMANDING UNIT.

~r-- .
... . /~
. ~......... .................. Jiaving.been finally approm and
mspecled by me this day, "jih· ....... e, ~ ?ate
o~ :A;~es{atlon, and el'61:'J preaoribed partiotiliw having
been recorded, I certify that I am·\I,.tisfied.wifu. the oorreetn~Eit,of this Attestation•

6:-;-..-,. -~
. ../~<~?/';>.~..

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