Permanent Address: R 3, Ft. Head, Sumner, Tenn

Age: 37

Date of Birth: July 10, 1881

Race: White

U. S. Citizen: Natural Born

Present Occupation: Farmer

Employer's Name: Self

Place of Employment or Address: R 3, Ft. Head, Sumner, Tenn

Nearest Relative: Lorie (?) Cole, R 3, Ft. Head, Sumner, Tenn

I affirm that have verified above answers and that they are true:
John Cole
his
X
Mark

Registrar's Report
Height: Medium
Build: Slender
Color of Eyes: Brown
Color of Hair: Dark

Remarks: Blank

Date of Registration: Sept 12, 1918