| No. | 102 |
| Name in Full | Frank Richard Broadbent |
| Age, in yrs. | 23 |
| Home Address | 2533 Haddon Ave Chi Ill |
| Date of Birth | May 25 1894 |
| Citizenship | Natural Born |
| Where were you born | Chicago Ill U.S.A. |
| If not a citizen | |
| What is your present trade, occupation, or office | Locomotive Fireman |
| By whom employed | Chi N.W. Railroad |
| Where employed | Wisconsin Division |
| Dependents | Father & Mother Sole Support |
| Married or single | Single |
| Race | Caucasia |
| What military service have you had | |
| Do you claim exemption from draft | No. 9 |
I affirm that I have verified above answers and that they are true
Frank Richard Broadbent (Signature or mark)
| Tall, medium or short | Medium |
| Slender, medium or stout | Medium |
| Color of eyes | Blue |
| Color of hair | Brown |
| Bald | No |
Emsley Cleilor (Signature of registrar)
Precinct 39 Ward 15 City or County Chicago State ill
Date of registration June 5 1917
Source: Registration State: Illinois; Registration County: Cook
Source: Ancestry.com. U.S., World War I Draft Registration Cards,
1917-1918