Age in years: 24

Home Address: R. R., Gallatin, Tenn

Date of birth: Oct. 11, 1892

Natural Born Citizen

Where were you born?: Gallatin, Tenn

Present Occupation: Farmer

By Whom Employed?: My-self

Where employed?: Gallatin, Tenn

Have you a father, mother, wife, child under 12, or sister or brother under 12, solely dependent on you for support?: Mother

Married or single?: Single

Race: Caucasian

Description of Registrant:
Height- Tall
Build- Slender
Color of Eyes- Brown
Color of Hair- Black
Bald: No

Precinct: Liberty Dist 9, Sumner, Tenn.

Date of Registration: June 5, 1917