ination.

Physical exam- fissures or perforations of the hard palate; loss of voice or manifest alteration of it; chronic obstruction of both nostrils, or foul discharges. Nasal polypi are not a bar to acceptance for military service. Hypertrophied tonsils are not disqualifying; but if the hypertrophy is sufficiently marked to interfere with respiration or phonation, the registrant shall be advised to have the large tonsils removed immediately, pending receipt of orders to report for duty.

(h) Neck.-Exophthalmic goiter; pronounced simple Examination: goiter, when sufficient to interfere with the wearing of the military collar; ulcerations or great enlargement of the cervical glands.

see sec. 183 (a).

see sec. 183 (e).

(i) Lungs.-Disease of lungs. A history of pulmoExamination; nary tuberculosis should be taken into consideration in connection with the physical examination of the lungs, but undue weight should not be given to statements not supported by physical signs.

see sec. 153 (e).

Heart. In examining the heart care must be taken Examination; not to ascribe to disease the hurried, sharply accentuated action sometimes due to nervousness, fright, or embarrassment, or the irregular action caused by the excessive use of tobacco. Ordinarily no murmur should be declared organic unless secondary physical signs, such as cardiac enlargement, edema, cyanosis, etc., can be demonstrated.

Examination; see sec. 183 (d).

Examination; see sec. 183 (c).

Causes for disqualification are: Marked enlargement of the heart; definite organic valvular disease as indicated by secondary signs or symptoms in addition to murmurs; aneurism in every situation; complete irregularity, but not dropped or premature beats; marked high blood pressure, over 200 mm. systolic or 120 mm. diastolic. Definite symptoms of circulatory failure, such as breathlessness, marked cyanosis, or edema.

(k) Abdomen.-Chronic inflammations of the gastrointestinal tract, including chronic diarrhea and dysentery and other serious diseases of the abdominal organs. Great care should be exercised before exempting for these conditions. A history of appendicitis without present symptoms is not a cause of rejection. Hernia in any location disqualifies.

(7) Anus.-Hemorrhoids of a pronounced type, prolapsus, fistula, fissures if of a disabling character.

(m) Genito-urinary organs.-Tight urethral stricture; undescended testicle if located in the inguinal canal: marked hydrocele. Chronic disease of the bladder and kidneys, if confirmed by laboratory tests. Varicocele does not constitute a cause for rejection unless it is so large as to interefere with locomotion.

Syphilis is a cause for rejection only when permanently incapacitating. Syphilis in the primary and secondary stages, that is, during the infectious period, chancroid, and gonorrhea, acute and chronic, are not disqualifying, but individuals so affected should be advised immediately

ination.

to secure appropriate medical treatment pending receipt, Physical examof orders to report for duty.

The fact that registrants have been found to be afflicted with the above-mentioned venereal diseases should be noted on the papers that are sent with them. when they report for duty.

(n) Affections common to both extremities.Chronic rheumatism and disabling diseases of the joints; irreducible dislocation or false joints; old dislocations if attended with marked impairment of motion or distortion of the joint; chronic synovitis; caries; necrosis; atrophy or paralysis; badly united fractures; extensive or adherent scars and permanent contraction of muscles, when sufficient to cause marked disability.

see sec. 183 (f).

(0) Hands.--Webbed fingers of right hand if disa- Examination; bling; permanent flexion, extension, or loss of motion of one or more fingers; loss or serious mutilation of either thumb; total loss of index finger of the right hand; total loss of any two fingers of the same hand, or loss of the second and third phalanges of all the fingers of either hand.

"see sec. 183 (g).

(p) Lower extremities.-Pronounced varicose veins, Examination; especially when attended with edema or marks of ulceration; pronounced knock-knees; clubfeet; well-marked flat feet, especially if attended with subjective symptoms; large and painful bunions; overriding or marked displacement or deformity of any of the toes. Hammer-toe is cause for rejection if it is well marked and interferes with the wearing of ordinary shoes.

The shin bone, if rough, nodulated, and tender, suggests syphilis.

A broad, flat sole is common in laboring classes, particularly among negroes, and is in no way disabling. In the flat foot which renders a man unfit for service the arch is so far gone that the entire border rests upon the ground, with the inner ankle lowered and very prominent and the foot apparently pushed outward.

Section 185. Dental requirements.

molars.

The person must have at least eight serviceable Bicuspids and natural masticating teeth, either bicuspids or molars, four above and four below opposing, and six serviceable natural incisors or canines, three above and three below opposing. These teeth must be so opposed as to serve the purposes of incision and mastication. There must be one molar above and one below on one side which occlude; the remaining six opposing masticating teeth may be either bicuspids or molars.

Teeth restored by crown or fixed bridge work, when Crown work. such work is well placed and thoroughly serviceable, are

to be considered as serviceable natural teeth within

the meaning of the above paragraph.

ture.

A well-fitting artificial denture, plate, or removable, Artificial denbridge is allowed to take the place of missing teeth, pro

viding the serviceable natural teeth on one side of the mouth are sufficient to meet one-half the masticating (bicuspid or molar) requirements fixed above as the mini

mum.

If dental work will restore the teeth so as to meet the requirements outlined in the preceding paragraphs, the man should be accepted and sent to his cantonment, where the dental work needed to bring him within the requirements will be carried out.

Section 186. Degree of deficiency for disqualification. Any of the physical deficiencies mentioned above must be present in such degree as clearly and unmistakably to disqualify the man for military service before he can be found to be physically deficient and not physically qualified for military service.

Examining physicians of local boards should consider the regulations as a guide to their discretion rather than a set of arbitrary rules destroying their discretion. The object is to procure men who are physically fit for the rigors of field service, and the determination of this question is left to the guided and learned discretion of medical men and not wholly to a chart of arbitrary rules.

Where serious doubt exists as to the fitness of the registrant, the case should be referred to the Medical Advisory Board for consultation.

Section 187. Temporary defects.

Temporary effects of acute disease or of an injury are not to be regarded as justifying a finding that the person so affected is physically deficient and not physically qualified for military service, but such conditions justify a reasonable delay in completing the physical examination in order that an opportunity for recovery may be afforded.

Section 188. Special report in case of men physically disqualified for general military service, but able to do special or limited military service. In each case in which the registrant is found to be physically disqualified for general military service, the examining physician will ascertain the nature of the trades, professions, or other civil occupations of the regis trant, and will report to the Local Board, in the proper place on form for physical examination, whether in his judgment the registrant is physically capable of rendering special or limited military service in any such trade, profession, or occupation, or in a similar capacity. This information is desired in order that, if the exigencies of the war so require, the War Department may call upon such men for service other than active military service in the field. In deciding upon the registrant's qualifications for

nation.

Physical exami-such service, the examining physician shall consider that the service here contemplated is not active military duty on the firing line, or any other class of duty necessitating greater physical development or endurance or more perfect vision or hearing than is necessary in the same class of work in civil life. (See sections 122-124, Part V.)

Disbursing offeers, see sec. 31 (b).

Assistant Adjutant General: See sec. 31 (a).

Inspectors: See sec. 31 (c).

PART IX.

DISBURSEMENT REGULATIONS.

A. DISBURSING OFFICER.

Section 189. Bond and oath of disbursing officers.

No person shall enter upon the duties of disbursing officer until he shall have qualified as such by furnishing an official bond approved by, and with penalty in a sum fixed by, the Secretary of War, and shall have taken the oath of office.

B. COMPENSATION.

Section 190. Double compensation.

No person shall receive compensation from Federal funds for two positions held under the Selective Service Law, nor shall any person receive compensation from the appropriation for Registration and Draft" when receiving salary from any other Federal appropriation. Section 191. Assistant to the Adjutant General.

The officer in the National Army or Reserve Corps appointed as assistant to the Adjutant General, shall receive the pay and allowance of his grade in the Army, and shall be paid by the Department Quartermaster of the Department in which the State is located.

Section 192. Inspectors.

Inspectors appointed by the Governor as provided in section 31 (c) may be paid $5 per day for each day actually engaged in such duties.

Section 193. Gratuitous services.

The duty of members of District and Local Boards and other persons appointed to perform duties in the execu tion of the Selective Service Law is patriotic service of so high and important a character that a great majority of those acting in this capacity have felt that they should render it gratuitously. The Government desires to accept such gratuitous service wherever it can be rendered without great hardship to the individual. There are citizens whose services the country needs in this capacity but who can not without disproportionate loss and hardship longer absent themselves from their private business without compensation. The services of these men can not be spared by the Government at this time. Compensation The rate of compensation for members of Local and Dissecs. 191, 195. trict Boards, specified in sections 194 and 195, is prescribed to relieve this condition. Wherever members of

for boords:

Sce