The daily Gate City and constitution-Democrat. (Keokuk, Iowa) 1916-1922, 1917-11-17

He DAILY GATE CIT
dicial officers, ministers Of religion,
divinity students, supporting affidavits,
military or naval service, citizenship,
officials, federal employees, pilots,
mariners, religious conviction against
war.
Dependency.
A long series Of questions is taken
up under this head. the main ones be-
ing as follows:
Have you wife, child, aged, infirm
or invalid parents, or brother under
Is, or sister under Is years Of age
mainly dependent upon your physical
or mental labor for support?
State whether married. single, Wild
owed or divorced, and state time and
place and by whom ceremony per-
formed
Give full Information as to how long
such dependents have lived with you
and when you began to contribute to
his or her support. Give extent of
your financial support per month aver
age. State whether person is wholly
dependent on you for support.
State total income from all sources
and whether or not your dependent
(other than wife or child) is q brother
father, mother, uncle, aunt, husband,
wife or child. If so, give name. age,
address, occupation Of each.
Give full particular Of your property
and taxes.
Has your wife ever been employed?
II so, in what calling? Is your wife
skilled in any calling? State condi-
ton Of her health, Do you live with
your parents7 State amount Of money
you consider necessary for monthly
support.
Industrial Occupation.
Are you engaged in an industrial
enterprise necessary to the mainten-
ance of the military establishment Or
to the effective operation OF the mill
tary forces, or to the maintenance OF
the national interests during the en-
Urgency? (If your, answer is no, you
do not answer any other questions in
this Department..
Are You an employe or in bust.
ness for yourself?
8. Do you claim deferred classit1-
cation on ground that you are engaE-
ed in such enterprise?
4. State nature of enterprise
s. State name Of enterprise and
exact location.
6. What is produced?
T., Do you give all working time
to said enterprise?
8. If not, what do you do?
9. What trade name Is applied to
your job?
10. What aDe your duties?
IL. How long in this work?
IL. Education, training, and expert
ence In work you are doing?
10. State reasons why you cannot
be easily replaced by another.
IA. How many persons employed in
plant where you work (this and the
next question to be answered only by
an employee.
is. How many employed in same
kind of work in said plant?
16. What are your earnings? Can
swer by employer-others same).
| IL. State whether in business as In
dividual Of co-partner.
j 49, How much capital have you In
vested in said enterprise?
Other questions deal with your net
earnings In last twelve months, length
you get other help.
Agricultural Occupation.
/. Are you engaged in an agricul
tural enterprise? OF your answer is
mo-" do not answer any other ques-
tions).
2. Are you an employe, or the own
ing and managing head Of the enter
prise, and do you claim deferred clas-
sificatfon on ground that you are en-
gagged in such enterprise? State the
kind of farm and are you engaged in
all branches of work on the farm?
State branches.
Name postoff1ce of farm. Do you
give all your working time to the
farm? II not, what other work do you
do? What is name Of the job on tho
farm which you do? How long in
farm work and how long on farm
where now working?
Give nature and extent of your edu-
cation and training as a farmer: how
many persons engaged both as owners
and workers on the same farm with
yourself?
State facts concerning the partfcu-
lar farm on which you work, the num-
Der of acres of the land, the number Of
acres under cultivation at the present
time, kind of crops raised In last year
or now being raised; what use is made
Of land not cultivated. State number
and kind OF livestock on the land. How
many persons live on the land and
how many Of them actually work on
the farm.
State in terms of money value how
much the proceeds Of said farm ex-
coed the amount consumed by all per-
sons working on 1t and their families.
State approximate cost Of production.
including labor, fertilizers, etc. State
why you cannot be easily replaced by
another person, and state the actual
condition which would result from
your removal
If you have any person related to
you by blood, marriage or contract
who is in any way assisting, Or can
assist you, state why he cannot take