| TABLE I. - General Table. | ||||||||||
| Examined | on 20th day of August 1907 | |||||||||
| at Mill Hill | ||||||||||
| Birthplace | Parish Willesden | |||||||||
| County Middlesex | ||||||||||
| Declared Age | 18 8/12 Years | |||||||||
| Trade or Occupation | Carpenter | |||||||||
| Height | 5 Feet 6 3/8 Inches | |||||||||
| Weight | 124 lbs. | |||||||||
| Chest Measurement | Minimum 31 inches | |||||||||
| Maximum expansion 34 inches | ||||||||||
| Rate of Pulse 76 | ||||||||||
| Physical Development | Good | |||||||||
| Small Pox Marks | Nil | |||||||||
| Vaccination Marks |
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| When Vaccinated | 4 Original 3 Recent | |||||||||
| Vision | R.E.-V=D/18 L.E.-V=D/12 | |||||||||
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(a) Marks indicating congenital peculiarities or previous disease
(b) Slight defects but not sufficient to cause rejection
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Approved by ?? ???
(Rank) Captain R.A.M.C Medical Oficer.
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Enlisted at Mill Hill
on 19th day of August 1907 |
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Became non-effective by
on Day of 190
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| TABLE II. - Service Table. | ||
| Station or Troopship | Date of arrival or embarkation | Date of departure or disembarkation |
| Mill Hill | 19.8.07 | 19-9 |
| Londonderry | 20.9.07 | 12-2 |
| TIDWORTH | 13.2.08 | |
| H.M.T Rewa? | 1.10.09 | 28.10.09 |
| Singapore | 29.10.09 | 10.12.10 |
| R.S M S. Hardinge | 11.12.10 | 18.12.10 |
| India | 19.12.10 | 2.9.11 |
|
TABLE III. - Boards; Courts of Enquiry, Vaccination,
Inoculations, etc.;
Examinations for Field or Foreign Service, Extension, Re-engagement, or Prolongation of Service; Issue of Surgical Appliances, etc. |
|
| Date | Brief details, and signature |
| 8.2.07 |
Revac in Militia 3 Perfect
?? ?? Captain |
NB - There are two copies of this page in the file. Probably a top copy and a carbon copy.