| Serial Number | U 2360 |
| Name | James Henry Broadbent |
| Order Number | |
| Place of Residence | 591 Hillside, Elmhurst, York Du Page, Ill. |
| Mailing Address | Same |
| Telephone | Elm. 4646 |
| Age in Years | 51 |
| Date of Birth | Dec. 13 1889 |
| Place of Birth | Chicago, Illinois |
| Name and Address of Person Who Will Always Know Your Address | Mrs Nell Broadbent, 591 Hillside, Elmhurst, Ill. |
| Employer's Name and Address | Chicago Rapid Transit, 79 W, Monroe St., Chicago, Ill. |
| Place of Employment or Business | Lockwood Ave Tower, G.P.B., Chicago, Cook, Ill. |
I affirm that I have verified above answers and that they are true.
J. H. Broadbent (Registrant's signature)
| Race | White |
| Height | 5-8 |
| Eyes | Brown |
| Weight | 162 |
| Hair | Black |
| Complexion | Dark |
| Other obvious physical characteristics that will aid in identification | Birthmark on inside left hand - palm and first and second fingers |
Beryl E B??? (Signature of Registrar)
Registrar for Local Board 3, Du Page, Ill.
Date of Registration April 27, 1942
Source: Ancestry.co.uk U.S., World War II Draft Registration Cards, 1942