Evening star. [volume] (Washington, D.C.) 1854-1972, 1917-11-14


and Are you in sound health mentally
and physically? 2" II he answers the sec
ond question eyes, he need not answer
the remaining questions Of the series.
If he answers no" he must answer all
the questions.
Details as to Dependents.
The tenth series, dependency" con-
tains the following questions:
@. L. Have you a wife, or child. or
aged. infirm. or invalid parents or
grandparents, or brother under sixteen
or. a helpless brother or sister of what
ever age, mainly dependent on your
physical or mental labor for support7
If your answer Is NO" do not answer
your name.
o.. State whether you are married,
single. widowed or divorced.
9. g. If you are married, state (a)
by whom the ceremony was performed.
=. 4. Give the name. relationship, ad-
dress, and age OF each person mainly
dependent on your labor for support.
~ b. Which Of such dependents live
with you. and how long has each lived
with you?
Q. 8. If any persons named in your
answers do not live with you, state
which Of them have lived with you at
any time during the past twelve
months and for how long period.
Q. Z. If any such dependent is a
stepchild, an adopted child or foster
child, state as to each when such re-
lationship to you began.
=: 8. AS to each dependent. state
when You began to contribute to his
or her support,
q 9. State both ta) the approximate
total and OBJ the average monthly
and: children during. the last twelve
months.
!: Q, 10. How much have you con-
frfhuted to the support OF each other
dependent during said twelve months?
q. IL AS, to each dependent. state
whether such person is wholly depend
ont on your labor for support?
/. q. 12. Has any dependent (other
than your wifesor child brother. ia
Their, mother. uncle, aunt. husband. wife
or child? II sol, give name, age. ad-
dress and occupation OF each.
@. 10: What waS your, total income
from all sources dGFing the last twelve
othsr thing OF value? Z
O. IA. How much OF this was the
fruit OF your labor. mental or physical2
Property to Be Listed.
Q. 10. Give a full statement of all
property owned by or held In trust for
you. whether income producing or not.
and net income from same during last
"a, 8; Is; Do',you own the .houss you
@. II. Does any of your family or
dependents own it?
Q. IS. Does any of your dependents
own the house he or she lives in?
Q. 10. Do you rent your house? II
SO, state the monthly rent and name
and address of landlord.
Q. 20. Have you paid any taxes dur
ing the last year, II so, state separate
U he mai
personal property; and income tax. and
name the officer to whom paid.
@. 81 II there is any incumbrance
on any property you own. state ats ma
@. %. State in money value all prop
erty owned by or held in trust for any
person named as dependent. ~
@. %. State earnings of each depend
ent during preceding twelve months.
@. "a. State amount Of contributions
to each dependent during said twelve
months by person other than you, nam
ing such dependents. contributors and
amounts.
Q. %. State amount per month you
consider necessary for support of all
your dependents.
Q. IS. Has your wife been employed
during any portion of the past twelve
months? II SO, state period OF employ
ment with dates. nature Of her work
and amount of her earnings.
Q. II. Has your wife ever been en-
ployed? If SO. in what calling2
Q. 2s. Is your wife trained or skilled
in any calling? II SO. in what?
@. 20. State. the condition Of health
of your wife.
Q. 80. Do you or your wife live with
Q. 81. II you have stated that you
contribute to the support of any person
except your wife and children. state
whether you live with suc}IS person OR
persons, and how much you pay for yeur
ri or ST IN at
For Industrial Workers.
Series III. Industrial occupation fol-
Q. 1. Are you engaged in an Industrial
enterprise necessary ny to the mainte-
nance of the military establishment, or
(29 to the effective operation Of the mill.
the national interests during the emer-
gency? -
If your answer is mo- do not answer
any other question and do not sign your
9: Are y YOU an employe. or in. busi-
9. 8. Do you claim deferred classin-
cation on the ground that you are engag-
ed in such enterprise?
Q. 4. State the nature Of the enterprise,
Q. 5. State the name under which the
enterprise is conducted, ana its exact To-
cation (post office address,.
g. s. What Is produced by said en-
terprise?
Q. Z. Do you give all your working time
to said enterprise?
@. 8. If not, what do you do?
Q. g.. What trade name is applied to
your job (for instance. '1aborer." skilled
laborer." foreman" manager" eto)?
Q. 10. State generally what duties
O.. II. How long have you been engaged
in the work you are now doing?
g. u. State your education. training
and experience for the work you are now
doing.
q. 13. State the reasons why you can
not be easily replaced by another person.
The following questions are to be an
swered only by a registrant who is an
employe: s.
c. IA How many persons are en-
ployed in the plant where you work?
@. Is. How many persons. are en-
ployed in the same kind of work in
ynur :p1ant@ ~ ~
The following questions are to be an
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