Ralph Douglas' World War I Draft Registration Card

Form 1 1395 REGISTRATION CARD No. 23

1. Name in full: Ralph Douglas Age: 26
2. Home Address: Hindsboro, Ill
3. Date of birth: may 18 1891
4. Are you (1) a natural-born citizen, (2) a naturalized citizen, (3) an alien, (4) or have you declared your intentions (specify which)? Natural
5. Where were you born? Hindsboro Ill U.S.A.
6. If not a citizen, of what country are you a citizen or subject? [Blank]
7. What is your present trade, occupation or office? Mechanic
8. By whom employed? Mossman & Moss (?)
Where employed? Hindsboro Ill
9. Have you a father, mother, wife, child under 12, or a sister or brother, solely dependant on you for support (specify which)? Wife
10. Married or single (which)? Married Race (specify which)? Caucasion
11. What military service have you had? Rank [Blank]; branch [Blank]; years: None; Nation or State [BLANK]
12. Do you claim exemption from draft (specify ground)? No

I affirm that I have verified above answers and that they are true.

Ralph Douglas
(signature or mark)

12-8-9-A
REGISTRAR'S REPORT
1. Tall, medium, or short (specify which)? Medium; Slender, medium, or stout? Medium
2. Color of eyes? Blue; Color of hair? D. Brown; Bald? No
3. Has person lost arm, hand, feet, or both eyes, or is he otherwise disabled (specify)? No

I certify that my answer 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: [Blank]

John P. R(illegible)

Precinct 1
City of County: Douglas
State: Ill Date of registration: 6-5-1917

Source: Ancestry.com World War I Draft Registration Cards