Permanent Address: Hendersonville, R1, Sumner, Tenn.

Age: 33

Date of Birth: June 4, 1885

Race: White

U. S. Citizen: Natural Born

Present Occupation: Farmer

Employer's Name: J. A. Frazier

Place of Employment or Address: Hendersonville, Sumner, Tenn

Nearest Relative: G. F. (or G. H.?) Rice, Hendersonville, Sumner, Tenn

I affirm that have verified above answers and that they are true:
James Clarence Rice

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

Remarks: Blank

Date of Registration: Sept 12, 1918