FORM TO BE FILLED IN BY APPLICANT

1-     Name and address, and age, and parentsí names.

2-     Date of enlistment

3-     Name, Battalion and Company, ( or ship or ships) on which you served.

4-     Date of leaving Newfoundland for Active Service.

5-     Have you been employed whilst with the Colours? If so, in what capacity?

6-     Date of return

7-     Date and reason for discharge form service.

8-     Occupation and experience in civil life before enlistment

9-     Name address of your last or any other employer before enlistment, etc., the nature of employment and how long you were employed.

10- Have you made any, and if so, what efforts to obtain employment?

11- What, if any, work have you been doing since your discharge?

12- State what special qualifications you have for employment in civil life, and the kind and locality of work you wish to obtain.

Name
Address

Witness:

N.B.- Where possible this form should be filled in and signed in the presence of a Clergyman, Magistrate, Justice of the Peace, School Teacher, or other prominent  person in the neighborhood of the applicant.

Source: The Rooms, Provincial Archives, St. John's, NL


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