| (handwritten) Duplicate given to N.S.R. 8-8-18. |
(handwritten) M 5684
4 [?] |
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Date when application received by Tribunal
(To be entered by the Clerk)
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R. 186.
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APPLICATION AS TO EXEMPTION FROM MILITARY
SERVICE.
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| Name of Tribunal |
Number of Case |
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(The attached duplicate must also
be filled by the Applicant and should not be detached.)
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Any person making a false statement or
false representation is liable to imprisonment.
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| 1. |
Man in respect of whom application made:- |
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The man must be a party to every application
for his exemption and must sign this form in the appropriate spaces
at the end.
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(a)
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Name (in full) |
Douglas Archibald Alfred Merry |
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(b)
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Years of age last birthday |
30 |
Date and year of birth |
November 22nd, 1887 |
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(c)
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Medical grade or category |
Grade 3 |
Date of last examination |
April 8th, 1918 |
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(d)
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Married or single |
married |
If married, date of marriage |
July 31st, 1911 |
| Only one original application (or one application
for the same renewal of a certificate) can be made for a man and all
the grounds, whether occupational or personal, on which exemption
is claimed must be stated in the application. |
(e)
|
Regional number, if known |
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If voluntarily attested, state so |
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| (f) |
Present address (in full) |
20 Queens Avenue, Church End, Finchley. |
| (g) |
Address on National Registration Certificate |
- do -
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| (h) |
Occupation, profession or business. (Give
full and exact details.) |
Wine Merchant's Manager. |
| (j) |
Address (in full) of place of employment
|
16 Princes Parade, Church End, Finchley. |
| 2. |
Whether engaged in the same or a similar occupation
before 15th August, 1915. If so engaged, (a) the precise
occupation. |
) In my employ over 8 years.
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| |
(b) |
How long employed in the occupation before 15th
August, 1915 |
) |
| |
(c) |
Name and address of last employer when so employed before
that date |
) |
| 3. |
(a) |
Name of present employer if any |
Frank Snell |
| |
(b) |
Address (in full) |
16, Princes Parade, Church End, Finchley, N. & Bowes Park, and
Southsea. |
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(c) |
Business |
Wine Merchant. |
| 4. |
Nature of application - State what exemption
is applied for and whether the application is an original application,
or one for the renewal, variation or withdrawal of a certificate,
or for a rehearing. |
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Renewal of exemption.
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| 5. |
Ground on which application is made. (it
will be sufficient to enter the appropriate letter or letters
- A, B, C, D, E, F or G, see footnote on back of duplicate.) |
|
A.B. & D.
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| 6. |
Reasons in support of the application. (It
is most important that the reasons should be fully shown. The
reasons may be continued on a separate sheet if necessary. If this
is done, a second copy must be provided. Any documentary evidence
in support of the application should be forwarded herewith.) |
Mr.
Merry is the only man of my original staff let, the others having
joined without appeal. He is in charge of my branch at Church End,
Finchley, and is taking the place of my own son who is serving and
is really now my only responsible employee, and as my business produces
considerable sums for the Revenue, and he was originally rejected
and is now only a Grade 3 man, I respectfully apply for his further
exemption.
Since
August 1914 he has been serving as a Special Constable in addition
to which he is doing Fire Brigade work. |
| |
[P.T.O.
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| 6. |
(Continued.) |
| 7. |
Whether any pervious application has been made (i) by the
man or (ii) by an employer or other person in respect of the man,
and, if so (a) the Tribunal which finally decided the case;
(b) the decision given; (c) the date when the exemption
ends; and, if the exemption has ceased to be in force for any reason
other than the expiration of the period for which it was granted,
(d) the reason why it has ceased to be in force.* |
| Last application by Appellant to Appeal Tribunal on 20th April 1918,
when written exemption till August 8th was granted. |
| 8. |
If the application is for the renewal of a certificate,
state whether there has been change in the conditions or circumstances
in respect of which the last exemption was granted. (It is important
that any change should be fully stated.)* |
| 9. |
(a) Signature of the applicant if other than the
man himself. (If applicant is the National Service Representative
this should be stated).
(Please
write distinctly.) |
|
(handwritten) Frank Snell
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(b) Address (if not already stated.) |
| 10. |
Signature of the man |
(The man must sign in every case unless the
application is made by the National Service representative.) |
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(handwritten) Douglas A A Merry.
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| 11. |
Date of application. |
25th July. 1918.
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FOR USE OF TRIBUNAL.
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| 12. |
Decision of the tribunal. To
be signed and dated If exemption is
granted, it should be stated here and on the certificate - (a) the
ground or grounds on which it is granted; (b) the date, if the certificate
is temporary, on which it will expire; and (c) the conditions, if
any, on which it is granted. (It
is most important that all the grounds should be stated.) |
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(handwritten) Exemption 4 months.
To continue in Sp: Constabulary
& Fire Brigade & report monthly.
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Chairman.
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11-9-18.
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