[104-10193-10069.pdf — page 43]
RECEIVEDJUN 7 1947| FULL NAME            | BUSINESS OR HOME ADDRESS (Give complete address, including street and number) | BUSINESS OF OCCUPATION || -------------------- | ----------------------------------------------------------------------------- | ---------------------- || James Gilly, Jr.     | V.P. Whitney National Bank, N.O. La.                                          | Banker                 || Judge V. Testerfield | Court of Appeals, New Court House Bldg., N. O. La.                            | Judge                  || Fred N. Ogden        | American Bank Bldg. N. O. La.                                                 | Broker                 |25. May inquiry be made of your present employer concerning your character, qualifications etc.? YES NO| Indicate "Yes" or "No" answer by placing X in proper column. | YES | NO  || ------------------------------------------------------------ | --- | --- ||                                                              | X   |     |26. Are you a citizen of the United States? X27. Do you advocate or have you ever advocated, or are you now; or have you ever been a member of any organization that advocates the overthrow of the Government of the United States by force of violence?    If your answer is "Yes," give complete details in Item 38. X28. Within the past 12 months, have you habitually used intoxicating liquor?    X29. Since your 16th birthday, have you ever been convicted or fined or incarcerated, or received a suspended sentence or been ordered to forfeit bail for the violation of any Federal or State law, ordinance (excluding minor traffic violations for which a fine of $5 or less was imposed)?    If your answer is "Yes," list all such cases under Item 38, including the date of each case, the date of the offense for which you were convicted, the place where the offense was committed, and the penalty imposed. If more space is required, use other side or attach another sheet.    X30. Have you ever been discharged or forced to resign for misconduct or unsatisfactory service from any position?    If your answer is "Yes," give in Item 38 the name and address of employer, date and reason for such action.    X31. Do you receive an annuity from the U.S. or D. C. Government based upon any retirement act or any pension or other compensation for military or naval service?    If your answer is "Yes," give in Item 38 reason for retirement, that is, age, condition of health, number of years service, amount of retirement compensation received annually and retired from what branch of actual service.    X32. Are you an official or employee of any State, Territory, county, or municipality?    If your answer is "Yes," give details in Item 38.    X33. Does the U. S. Government employ in a supervisory capacity any relative of yours (by blood or marriage) with whom you have or have had close personal associations?    If your answer is "Yes," list in Item 38 EACH such relative, giving name, present position, name of department or agency by whom employed and the kind of appointment.    X34. Have you ever had a nervous breakdown?    If your answer is "Yes," give complete details in Item 38.    X35. Have you ever been arrested?    If your answer is "Yes," give complete details in Item 38.    X36. Defective distant vision, corrected by glasses.37. Are you NOT related to you and who are NOT related to any of the supervisors listed under Item 16 (EXPERIENCE) to whom you are related and state the degree of your relationship.| Indicate "Yes" or "No" answer by placing X in proper column. | YES | NO  || ------------------------------------------------------------ | --- | --- ||                                                              | X   |     |38. Are you now, or have you ever been, in the United States Military or Naval Service during time of War? Xa) Is the word "honorable" or the word "satisfactory" used in your discharge or separation papers to show the type of your discharge or separation? Inactive Reserve.b) Was service performed on an active full time basis with full military pay and allowances? Xc) Date of entry or entrance into service: 8 Sept. 1942 Date of separation or separations: Inactive duty 19. Dec. 1945Branch of service (Army, Navy, M. C., Serial No. (If none, give grade or rating at time of separation) USMCR 013458 Major USMCRQ. M. C., etc.)IF YOUR ANSWERS TO THIS QUESTION (No. 36) INDICATE THAT YOU ARE ENTITLED TO VETERAN PREFERENCE, SUCH PREFERENCE WILL BE ACCEPTED IN THE EXAMINATION. IF APPOINTED, YOU WILL BE REQUIRED TO SUBMIT ALONG WITH FORM 343, PRIOR TO ENTRY ON DUTY, OFFICIAL EVIDENCE OF SEPARATION FROM YOUR LATEST PERIOD OF ACTIVE SERVICE IN THE ARMED FORCES OF THE UNITED STATES DURING TIME OF WAR. DO NOT SUBMIT PROOF OF DISCHARGE OR SEPARATION WITH THIS APPLICATION37. a) If you served in the U. S. Military or Naval Service during inactive reserve only, did you participate in a campaign or expedition and receive a campaign badge or service ribbon? Xb) Are you a disabled veteran? Xc) Are you the unmarried widow of a veteran? Xd) Are you the wife of a veteran who has a service-connected disability? XIF YOUR ANSWER TO QUESTION 37 (a), (b), (c), OR (d) IS "YES" AND YOU WISH TO CLAIM VETERAN PREFERENCE, ATTACH TO THIS APPLICATION PREFERENCE CLAIM (FORM 14) CIVIL SERVICE COMMISSION FORM 10) TOGETHER WITH THE NECESSARY PROOF SPECIFIED THEREINTHIS SPACE FOR USE OF APPOINTING OFFICE ONLYThe information contained in the answers to Question 36 above has been verified by comparison with the discharge certificate on 19.FALSE STATEMENT ON THIS APPLICATION IS PUNISHABLE BY LAW (U. S. CODE, TITLE 18 SECTION 80).The statements made in this application are true, complete and correct to the best of my knowledge and belief, and are made in good faith.26 May 1947Signature of applicantHarry L. Down