World
War I Draft Registration Card
|
No. 70
36
|
| 1 |
Name
in full: Clifford
Cummins |
Age
in Yrs:21
|
| 2 |
Home
Address:
R.
#1(City)
Falmouth (County) Pendleton(State) KY
|
| 3 |
Date
of Birth: December
9, 1896
|
4 |
Are
you (1) a natural-born citizen, (2) a
naturalized citizen, (3) an alien, (4)
or have you declared your intentions
(specify which)? Natural
Born Citizen |
5 |
Where
were you born? Pendleton
Co. Kentucky, U.S.A.
|
6 |
If
not a citizen, of what country are you
a citizen or subject? U.S.A. |
7 |
What
is your present trade, occupation or
office? Farming
for self |
8 |
By
Whom Employed? Self
Where
Employed? Pendleton
Co., R. #1, Falmouth, KY. |
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)? |
10 |
Married
or Single (which)? Race
(specify which)? Caucasian |
11 |
Nearest
relative? Allice Cummins |
Registrar's
Report
|
| Tall,
medium or short (specify which?) Tall Slender,
medium or stout (which)? Medium |
| Color
of eyes? BlueColor
of hair?
BrownBald? |
Has person
lost arm, leg, hand, foot or both eyes,
or
is he otherwise disabled (specify)? No |
