Permanent Address: R1, Cottontown, Sumner, Tenn.

Age: 45

Date of Birth: Jan 31, 1873

Race: White

U. S. Citizen: Natural Born

Present Occupation: Farming

Employer's Name: Self

Place of Employment or Address: R1, Cottontown, Sumner, Tenn

Nearest Relative: Bettie Cole, Wife, R1, Cottontown, Sumner, Tenn

I affirm that have verified above answers and that they are true:
W. T. Cole

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

Remarks: Blank

Date of Registration: Sept 12, 1918