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Military: World War 1 Draft Registration Card A (05 June 1917)
COUSINS Jesse B

[parentheses denote handwriting]
[brackets denote editorial comment]
[ See blank draft form for details. Blank World War 1 Draft Registration Card (A) 05 June 1917]

[page 1 of 2]
Registration Card
Form [illegible]
No. 212
1. Name in full ( Jesse B Cousins ) Age ( 26 )
2. Home Address ([illegible] Tex )
3. Date of birth ( April 1 1891 )
4. Are you a natural-born citizen, a naturalized citizen, an alien, or have you declared your intention, specify which? ( natural born )
5. Where were you born ( Lampasas [Lampasas Co] Tex USA )
6 If not a citizen, of what nation are you a citizen or subject? [blank]
7. What is your present trade, occupation, or office? (Farming)
8. By whom employed? ( myself )
Where employed? ( Coleman Co Tex)
9. Have you a father, mother, wife, child under 12, or a sister or brother under 12, solely dependent on your [sic] for support, specify which? ( wife )
10. Married or single, which? ( Married ) Race, specify which? ( Caucasian )
11. What military service have you had? Rank (none), branch [blank], years [blank], Nation or State [blank]
12. Do you claim exemption from draft, specify grounds?( yes, married)

I affirm that I have verified the above answers and that they are true. Signature or Mark ( s/ Jesse B. Cousins)

[in triangle in left corner of form] If person is of African descent, cut off this corner.

[page 2 of 2]
42-1-15-A
Registrar's Report
1. Tall, medium or short, specify which? ( Medium ) Slender, medium, or stout, which? ( Slender )
2. Color of eyes ( Light Blue ) Color of hair ( Brown ) Bald (no)
3. Has person lost arm, leg, hand, foot, eye, or both eyes or is he otherwise disabled, specify? (no)

I certify that my answers are true, that the person registered has read his own answers, that I have witnessed his signature, and that all of his answers of which I have knowledge are true, except as follows ( [illegible] )

Signature of Registrar ( [unable to read] Jones )
Precinct (6)
City or County ( Coleman )
State ( Tex )
(June 5th, 1917)

[During the World War I Draft Registration, there were three draft lotteries. Read more about the World War I Draft Registration at World War I Draft Registration, "Background Information" by Raymond H. Banks, 1917-1918. Washington, D.C.: National Archives]

[end]


Owner of originalAncestry.com
File nameCOUSINSJesseBWWIDraftRegistration.jpg
File Size213.62k
Dimensions813 x 559
Linked toCOUSINS Jesse B. "J. B."

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