1053.
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8. Father.
(a) Name.
(b) Where born.
(c) Racial descent. (Particular Old World race, or races by fractions).
9. Mother.
(a) Maiden name.
(b) Where born.
(c) Racial descent. (Particular Old World race, or races by fractions).
10. Marital condition (single, married, widowed, divorced).
(a) Name of consort(s). Date(s) of marriage.
(b) Name(s) of children. Date of birth of each.
11. Citizen of the United States?
12. If foreign born,
(a) Year of immigration.
(b) Year of naturalization.
13. Education. Years of formal schooling.
14. Literacy.
(a) Able to speak English.
(b) Able to read English.
(c) Able to write English.
(d) If not able to speak English, what language spoken.
(e) If not able to read English, what language read.
(f) If not able to write English, what language written.
15. Religious affiliation.
16. Occupation.
(a) Kind of work.
(b) Kind of business.
(c) Employed or working on own account.
17. Personnel identification.