No. 100054/2
A.G. 4c.
|
WAR OFFICE, LONDON, S.W.
(stamp over this) WAR OFFICE received 23 NOV 1916 |
1. Rank and Name |
2nd Lt. J.R.R. Tolkien. |
2. (a) Regiment and Brigade (or Division) |
11thB. Lancashire Fusilers. 74th Brigade. |
2 Corps(b)
If attached to another unit Overseas, the Battalion and name of Regiment
must be stated |
|
3. Address in United Kingdom |
(temporary) c/o T.E. Milton Esq
Moseley
B'ham |
4. Date of leaving Unit (Abroad) |
Sat. October. 28th. 1916 |
5. Date of Embarkation for England |
Thursday, Nov. 9th. 1916. |
6. Port of Embarkation for England |
Le Havre. |
7. Port of Disembarkation (England) |
Southampton. |
8. Date of Arrival in England |
Thursday, Nov. 9th 1916. |
9. Name of Ship |
HMHS Asturias. |
10. Cause of Return |
Trench Fever |
11. Dates if on leave, from
to
|
-
-
|
12. Authority |
Medical Officer. No. 1 Red Cross Hospital
Le Touquet. |
13. Whether examined by a Medical Board since return from Continent |
no |
(Date) Nov. 22/1916 |
(Signature)
JRR Tolkien
2/Lt |