| Name |
Address |
Age
in Yrs |
D.O.B. |
Race |
| Wiley Ausborne? |
Roark Ky |
22 |
June 29 1895 ( Roark Ky ) |
White |
| Citizenship |
Occupation |
Employer |
Place
of Employment |
Nearest
Relative |
| Natural Born |
Farmer |
Self |
||
| Height |
Build |
Eye
Color |
Hair
Color |
Date
of Reg. |
| Medium |
Slender |
Blue |
Black |
June 5 1917 |