Permanent Address: Portland, Sumner, Tenn.

Age: 38

Date of Birth: August 24, 1880

Race: White

U. S. Citizen: Natural Born

Present Occupation: Carpenter

Employer's Name: Self

Nearest Relative: Mrs. Molle Faullin, Portland, Sumner, Tenn.

I affirm that have verified above answers and that they are true:
William Tomson Faullin

Registrar's Report
Height: Tall
Build: Slender
Color of Eyes: Brown
Color of Hair: Black

Remarks: Blank

Date of Registration: Sept 12, 1918