Permanent Address: R#2, Portland, Sumner, Tenn

Age: 19

Date of birth: Nov. 22, 1898

Race: White

U. S. Citizen: Native Born

Present Occupation: Farmer

Employer's Name: Self

Place of Employment: R#2, Portland, Sumner, Tenn.

Nearest Relative: Ines. Short, R#2, Portland, Sumner, Tenn

Description of Registrant:
Height- Short
Build- Slender
Color of Eyes- Brown
Color of Hair- Dark

Date of Registration: Sept. 12, 1918