Form 1 | 353(Handwritten) | REGISTRATION CARD | No.: 39 |
1 | Name in full: Homer T Jackson | . | Age in yrs.:21 |
2 | Home address: Sabinal, | Uvalde, | Texas |
3 | Date of birth: Aug | 4 | 1875 |
4 | Are you (1) a native born citizen (2) a naturalized citizen | (3) an alien (4) or have you declaired your | . |
. | intention (specify which)? | . | Naturalized Born |
5 | Where were you born? | Boliver, Benton Co. | Tex |
6 | If not a citizen, of what country are you a citizen or subject? | . | . |
7 | What is your present trade, occupation, or office? | Farming | . |
8 | By whom employed? | My father Where employed? | Sabinal, Tex |
9 | Have you a father, mother. wife, child under 12, or a sister or | brother under 12 solely dependant on you for | . |
. | support? (specify which) | None | . |
10 | Married or single(which)? | Single | Race (specify which)?Caucasion |
11 | What military service have you had? | None | Branch |
. | years | nation or state | . |
12 | Do you claim exemption from draft (specify grounds)? | No | . |
REGISTRAR'S REPORT | 42-1-71-A(Stamped) |
1 | Tall, medium, or short(specify which)? | Medium | Slender, Medium, or Stout | Medium | . | . |
2 | Color of Eyes? | Brown | Color of Hair? | Dark | Bald? | No |
3 | Has person lost arm, leg, hand, foor, or both eyes, or is he otherwise disabled(specify)? | No | . | . | . | . |
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Precinct: 13
City or County: Uvalde
State: Texas Date: June 15 1917
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