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service and is eligible only to such military service as may be declared noncombatant by the President of the United States.

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Section 281. Notice to registrants to appear for physical examination.

NOTICE TO APPEAR FOR PHYSICAL EXAMINATION.

LOCAL BOARD FOR..

(Date.)

You are hereby directed to appear before this Local Board for physical examination at Failure to do so is a misdemeanor,

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m. on

(Date.)

punishable by not to exceed one year's imprisonment, and may also result in your losing valuable rights and your immediate induction into military service.

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STATEMENT OF PERSON EXAMINED.

1. Have you found that your health and habits in any way interfere with your ability

to earn a livelihood? If so, give details..............

2. Do you consider that you are now sound and well? If not, state details.....

3. Have you ever been under treatment in any hospital or asylum? If so, for what ailment?..

Names of hospitals or asylums.

Dates of admissions and discharges.....

4. Have you been confined to your bed at home under a physician's care within the past year? If so, for what ailment and for what length of time?....

Name of physician.

When....

I certify that the foregoing questions and my answers thereto have been read over to me; that I fully understand the questions and that my answers thereto are correctly recorded and true in all respects.

I further certify that I have been fully informed and know that making or being a party to making any false statement as to my fitness for military service renders me liable to punishment by imprisonment.

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Girth of chest (at nipples): At expiration ...... inches. At inspiration.
General examination (head, chest, abdomen, extremities).

Nose and throat..

Heart.

Hernia..

Lungs.

Genito-urinary organs (urine will be examined in suspicious cases)..

Flat foot or other deformities of feet..

Eyes...

Ears.

Teeth:

Missing

Hemorrhoids.

Vision-Right eye
Hearing-Right ear.

Right. Upper, 8 7 6 5 4 3 2 1 teeth..Lower, 8 7 6 5 4 3 2 1

Remarks..

Left.

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SPECIAL ENTRY.-Particular qualifications of registrant found to be physically deficient and not physically qualified for general military service (note hereunder any trades, professions, or other civil occupations in which the registrant has had experience)...

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