The daily Gate City and constitution-Democrat. (Keokuk, Iowa) 1916-1922, 1917-05-19

or merchant within the Unite'
States
8. BY Whom Employed Where En-,
p.oyed?
If you are working for an individ
ual, firm, corporation, or association
state its name. If in business, trade
profession, or employment for your
self, so state. If you are an Officer
Of the state or federal government
say whether your Office is under thu
United States, the. state, the county
or a municipality. In answer to tht
question as to where you are employ
ed. give the town, county, and state
where you work.
9. Have You Father, Mother, Wife
. Child Under IL, or Sister or
Brother Under IL Solely Dependent
Upon You for Support (Specify
which,?
Consider your answer thoughtfully.
If it is true that there is another
mouth than your own which you alone
have duty to feed, do not let your
military ardor interfere with the wish
of the nation to reduce wars misery
w d I'll tlc oLlCl Nlclllu,
unless the person you have in mind
hide behind petticoats or children.
10. Married or Single (Which) &?
Race (specify Which)7
This does not ask whether you
were once married, but whether you
are married now In answer to the
question as to your race, state brief.
lX whether Caucasian" Monaghan"
Negro" "Malayan," or Indian"
II. What Military Service Have You
Had? Rank? Branch7 Years?
Nation or State?
No matter what country you serv-
ed, you must give complete inform
alton In answering these ques-
lions, first name your rank, using
one of the following words: Com
missioned officer" "noncommission-
ed officer" private" Next, state
branch in which you served in one OF
the following words: Infantry"
calvary" artillery" medical,
signal" aviation supply" ma.
'ine.' navy" Next, state the num-
Der Of years service, not counting
fme spent in the reserve. Finally,
lame the nation or state you served.
T you served under the United States
" one Of the states of the United |
states, name your service in one Of |
he following terms: National |
,uard (of such and such state)," |
militia (of such and such a state),"
volunteers Of United States" o:
regular army (navy) of United
'tates''
2. Do You Claim Exemption From
Draft? Specify Grounds.
Because you claim exemption from
raft, 1t by no means follows that !
GU are exempt. For the information
the war department you should !
make claim now If you intend to
rosecute it. Some persons will be
xempted on account of their oc.
upations or offices, some on account
the fact that they have relatives
ependent upon them for support:
our answer touching these things
i'll be important in supporting the
aim you now intend to make in your
nswer to the present questions Be
ire, therefore, that the grounds you
ow state are in conformity with
our answers to questions and s.
l stating grounds you claim as ex-
npting you, use one Of the follow
g terms: If you claim to be an
,ecutive, legislative, or judicial Of
Ger of the state or nation, name
our office and say whether It is an
ice of the state or nation. If YOU
aim to be a member of a religious
,ct whose creed forbids it's members
participate in war in any form, I
IMPLY name the sect If you are EN-. 6
Dyed in the transmission of the {
nited States mails or as an artificsr {
workman in an armory, arsenal ii