Permanent Address: Fountain Head, Sumner, Tenn.

Age: 44

Date of Birth: Feb 12m 1874

Race: White

U. S. Citizen: Natural Born

Present Occupation: Farming

Employer's Name: blank

Nearest Relative: S or L ___ (?) Wade West, Fountain Head, Sumner, Tenn.

I affirm that have verified above answers and that they are true:
Forrest Freeman West

Registrar's Report
Height: Med
Build: Med
Color of Eyes: ? can't read
Color of Hair: ?can't read

Remarks: Blank

Date of Registration: Sept 12, 1918