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NAA: B883, SX26271 Series number: B883 Control symbol: SX26271 Barcode: 6414619 Number of pages: 15 PICKERING KEVIN WILLIAM : Service Number - SX26271 : Date of birth - 16 Sep 1923 : Place of birth - PROSPECT SA : Place of enlistment - SANDY CREEK SA : Next of Kin - DOLMAN M These copies are provided for research or study purposes. Before making use of the material for other purposes (for example publication) you should familiarise yourself with any copyright obligations.

NAA: B883, SX26271 - Old Prospectors file‘ 2.australian military forces. ~~ fm r-we\ i attestation form.i,t(revised april, 1941.)l for special forces raised for service in australia

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NAA: B883, SX26271

Series number: B883

Control symbol: SX26271

Barcode: 6414619

Number of pages: 15

PICKERING KEVIN WILLIAM : Service Number - SX26271 : Date of birth - 16 Sep 1923 : Place of birth -

PROSPECT SA : Place of enlistment - SANDY CREEK SA : Next of Kin - DOLMAN M

These copies are provided for research or study purposes. Before making use of the material for other purposes (forexample publication) you should familiarise yourself with any copyright obligations.

. tAUSTRALIAN MILITARY FORCES. A-K 7"‘ 439°-(Revised April, 1941.)l I ATTESTATION FORM.Amy Now..'~ _ ggr/n vv IL! /nnqSur1mn1.e_________ ' ‘ Other Names .... .um: Enlisted for service~ ‘<9...r_.>.zc2/1FUR$PEC|AL FORCES RA|§ED FQR SERVICE IN AUSTRALIA QR AIROAD.$1.... ' 7 f - VPI (Block Ccpllllll mMM‘_m_~"MW N ‘K<_"'[§:.4._L;iZIZ§_.>__._..._.... .......... _____ .._ .... .... _.2zr.:_...4§§1..l!.1czE./24/.'5'(sum) M...“ ......._.__N_@_Z..;Z__-._@_?__-r.._§.{,?Z._-_.._.(um)45A.1.2.QuestionsWhatisyourname1.. .. .. .. .. .. .. .. .. .. ..Where were you born1.. .. .. .. .. .. .. .. .. ..{3‘ Are you a natural born or a naturalized British Subject!If the latter, papers areto be produced .. .. .. ..Whatieyouragea.ndda.teo£birth1.. . .. ..What is your trade or occupntionf . . . . . .6. Are you married, single, or widower! . . .7.8910.1112.13.Give details of previous Military Service . .If now serving, giveparticulars .. .. .. .. .. .. ..Who in your actual next of kin! (Order of relationship:—Wife, eldest eon, eldest dnughter, father, mother, eldestbrother, eldest sister, eldest half-brother, eldest half-Whnt is your permanent nddruei .. .. .. . .... ..What is your religious denomination! (Answer optional.)Have you ever been convicted by e. civil court! . . . . ..Have you any of the following Educational Qualications?If so, which! .. .. .. .. .. .. .. .. .. .. .. .. ..123. ..... .._(BlackCapitals) - -Other nnmce .... .._».flI._é1_-4.411-.....r.Ms¢._r..ALLdQ2__.. In or near the town .t.._..__._in the State or country of._.€Q . 4to be put to persons called out or presenting themselves for voluntary enlistment.4.57o10Date of Birt.h......__.lé..;$i.\i.,....._.__.__._._..............._...-._ _/_0£Llr_\/_1_/2/_@__QlQ£_/I. /.042 _r__ _ ____.4 l R OTHER ZILITARY SEBVICE.....t...... Y4 Nut......_..._...................Rank_.._____.Unite._.. A _ >~u_<,1¢,-:1 _- "~ ‘ ’__.._.-:¢¢.¢,;‘_e¢,5¢ />7- /. KV~*5“~”“/' - 4/A,?/ _,%¢¢4.¢oa*\\'//<¢é,»/26%;/4€’46~/“<e»@¢~ =M- ‘ "v >2-/~~¢. - 6’11. . .. . . 12_ _____ ______ ______ ......... .1. Certicate for Entry to Secondary School_.l9_ .. _2.Intermediate.........._....[ZQ....._-__..3. 4, Iiving H°Q|]f§,____£y,9_,_,.,_,_,_,.,.,.,,‘.,.__... _5. Teclrn.ica1.._..t..____/_f.Q_____.. _...._.. _G. University Degrees./;Y_Q_.___....r..-.,__,_.__. _ _7. Other Dipl0ma.s_.__..__/_-ZP__._.-._............................... ._......_.,_-7?/;” solemnly declare that the above answers made byme to the above questions are true and that I am willing to serve in the Australian Military Forces within orbeyond the limit e mo ealth. ,01%Z=_ / » %/’i Witnessed b .. :.1;_.I___. .. D \ (Signature of Attesting or Witnessing Ojiter) , I (Signahmz)' The person will he warned that lhenld he give false unaware to any of these question: he will he lilhle to henvy ponnltlesunder the Defence Act.B. MEDICAL Enit |0 7I certify the abovcnamcd person to be t for Class...._ Temporarily unt/Unt.thC. ...... ( S igmtt-ure)_ % t _ OAT%QF ENL|§TMENT.'l ......-swear that I will well and truly serveourQ1Sovereign Lord, the King, in the Military Forces of the Coriionwealth of Australia until the cessation of thepresent time of war and twelve months thereafter or until sooner lawfully discharged, dismissed, or removed,and that Iwill resist His Majesty ’s enemies and cause His Mnjesty’s peace to he kept and maintained, and thatI will in all matters appertaining to my service faithfully discharge my duty according to law.in ivl m» (Kan.” %%sew P 0»subvbeaa: K mt stter5au wxdfa_ ._._..... t. e o on-... ..._.._. is_ ....... -H. ... . ..~-.._........_....._._..._day oft_t_&MZ j......._?;9&zB fe ore me- a/ //1Signature of Attestim] Oicer; ' _ 1 Persona who object to take In oath ml! nuke annnnntion in nccm-dance with the Third Schedule ol the Dehnoo Act. In rnch ith10l—6.l2 5903form will be mended l900l'|1l.l'|‘ly -no unenna by the Atteltlng Ocer. °"° \

‘ 2.AUSTRALIAN MILITARY FORCES. ~~ Fm r-we\ I ATTESTATION FORM.I,t(Revised April, 1941.)L FOR SPECIAL FORCES RAISED FOR SERVICE IN AUSTRALIA OR ABROAD.Army Z /Z ) I. glil’/IVY I~ /LL/nnqS ' . .. - -..... .. --L - -m-name _ __ __ ___ ____ Other Names _ _ .llloek Capitals)Enlisted far serlijce ____._____._________._____£_ZQ..£*£..Zf._..{gTé!...LZ2EQ:§lI'S'(State) A. Questions to be put to persons called out or presentingthemselves for voluntary enlistment.1.3. Are you a natural born or a naturalized British Subject!If the latter, papers are to be produced .. .. .. .. 3‘}{ .4. What is your age and date of birth! ..5.6.What is your trade or occupation! .. .Areyou married, single, or widower! . . 6.7.7. Give details of previous Military Service . .8. If now serving, give particulars . R.9. Who is your actual next of kin! ”‘ ' 'Wife, eldest M“ "'t\_,.AJ5.10. What “L 10.What 4‘-.|-still‘! (Answeroptional.) 11.11.12. Have §vu ever been convicted by a civil court! .. . . . . 12.l13. Have you any of the following Educational QualjwtionslIf so,which1 .. .. .. .. .. .. .. .. .. .. .. .. ..1.Whatisyour name! .. .. .. .. .. .. .. .. .. .. ..{1 2.Wherewere you born! .. .. .. .. .. .. .. .. .. .. LSurname... .... _.(Block Ccpildlll ' <Other ns.mes_...._.éliéllf.l_.C_Y....t.._..l{l4...L.é_£.L.£2.£Z2___.In or near the town in the State or country 0£..,..»§.O.Date of _ - -4iféls. OTHER KILITARYSERVIGE._.,4..... N ................Rank_....___...__Unit..s.. .. . N0:2}-£2Z§z.:Z.:.....nmk.....E!_a....._U lut..i'5f, . Address_.......gZ.L..€44§£f1_fL%_@__§:.f -Relationship 47- . . .. 1. Certicate for Entry to Secondary School2.I.utermediate_...._..._....[[Q......_...._ s. . _4. Leaving Honou.rs.._./_I./ _ _ .5. _6. University Degrees..../.:{Q___...-....,,..._7. Other ....w 11 ' /’ ‘ '_ _ solemnly declare that the above answers made byme to the above questions aretrue and that I am willing to serve in the Australian Military Forces within orbeyond the hmit e péhuno ealth. W)Wttnesseol b /~ l_,.Q/7%f/’. _ /I ' ~ ' -. . .. ______ __ . (Signature of Attesting or Witnessing 0)’ée'r) , (,/(Signature)* The person will be warned that should he give false answers to any of these questions he will be liable to heavy penalties nude the Def Act1- enee .s. MEDICAL sxt‘( ,)I certify the abovenamed person to be t for Class............ .. . .......... .... _. Temporarily unt/Unt....... _....__...._..................._. (Signature )C. _ . _ OAT/%OF ENLlSTMENT.T) __ that I will well and truly serve ourSovereign Lord, the King, in the Military Forces of theCormonwealth of Australia until the cessation of thepresent time of war and twelve months thereafter or until sooner lawfully discharged, dismissed, or removed,and that I will resist His Majesty ’s enemies and cause HisMa_jesty’s peace to be kept and maintained, and thatI will in all matters appertaining to my service faithfully discharge my duty according to law.n rl Mr $1111.FSig /12-ft s b '1; <1 . _ .. . .- _......._...___da.y ......._.____194rQ/Before me— s_ t % 5% Z3nform will be lmemied accordingly and mitnlled by the Attelting on r. n "0 me u'°tgna ure of Attestlng O'icer._ ... ». ........... ,. .T Persons who obieet lo take In oath may make an olrrnntionIn ncoordance_wit_h the Third Schedule of the Deance Act. I ee10l—6.42 5903

1\

c/IQ’_ e V I '5. D ‘K-,,‘_.‘ ‘ " . 7i~- ‘" PROCEEDINGS ran DISCHARGE. Kit-,;?=i“,,PART}--Ciornpiled by _Unlt: P H '1 ‘" F1 ' Cpl _/'‘ Dischnrgn ' ‘ . 1 '‘ —;l:::ll:°r Unit Army No...$.ZS.2..b..z_.:.'...!_..‘.fl€ank..._..&_...- ’i °i=='"°'@= M, - H /‘ State in which discharge es re 6|’ O .....L....- .».... -,-r-------------- ----- ..-- - ~ - - ¢ - - _ . . . . . . . i . . - < . . . . . . . . . . . . . . . . . .....‘ Normally State in which mem- ~’ * (mock hm")-Wd l a- Oth N mes /<@l/L52 1'}/'//'¢7”2tZSurname P'('KE..B.il._.._§..__N ‘/ jber’s home is situated. ------ ‘-1_lll.e_;_~_-Q '_~.§lll1' /P":5 ., at.PART B——Personal tail ompiled by Ury PART D‘-C°"'lPlled lJY ECl”\- 5' Rec ' )l 2~ P'@5e"' D95¢"lP*l°"l °l 5°ldle"?"' M,d;,,| ¢,,,,g,,|, Active Service O/S Australial #¥.1l._{’.Qf.days» P R B _l d b7 __ _ _._/_../.__- ' ' . .. o ame .. .. egi' Cl C I Q §-—- . _ _ LLLLLLL /-W ............... .........._ _ _ _ _ p _ ‘Y{J<3Q?vsLA}l. Home address 5 Details for Certificate ofDischarge N ...... ...\'...f / Unit (for discharge purposes)...i.......)%é...>?z%Z3r.:iL,_,,.._.-Date commenced F.T.D.:?2./...a./H-bate of Birth Served on continuou Full Time Wa iervice in the 5‘-me whethe,-;__ ....... ta 1° r 'Married sinI: % No. at Dependant: in respect of whom to., 6 ‘l Q I ' ***P*="d°""* “"°"°"=* ‘S *’°*"° "°‘°=‘ for O Total Effective Period‘ ¢qy=- Nah includeder-widaunsi,._...._...._.....___~.__...t..i_ Under I6 yrs,....fI_...l6 yrs. G aver....I.. ActiveService in AustrO|iu.t_'__)!_Q;%é?“ qys ona ’Decorations and Aw rdsi during that Service: l_!.u.4l/£.££0_.[§Z/?£1I4‘1£}1_/7§) ..;;..s-_._;75_7_ 2IL...........;.....I§:;;:;;.“.;§.Q_._.§§.§...l.§..::2...§:III J l7“"7’**'w .5 Clgss gr?‘.,......§l:‘l:leg:dReglster ..... Discharged from the ...... "and discharge '. - ‘Age .. .. yrs .... mantHeight Complexianw... _.QJ.Z_'_.._ Hair....L__ZQ.v. Marks/Scars f-=.L*Leo_.i£&1m~___{?l...isability:--Trade Group Inwhichemployed 3. Operational Service :—-‘°l °"'==°§°'*<= E'"*=°"<=d °l=@""'>°""=d’ ;;;;;;';;;;;;;""§;§;;;;""é confirmed vide Schedule No.3-Sn... . ......to take effectreedR Cr O Z53All) (I)isahiliiy ___;...%l'ofse ie < fem/X t.'riAust.lm_£;_é¢i§__%f§{j§_,3l(/__£Q/ §f_3_Ddte > /. / ........... .. on d fr_ - . 3. 7'i@,@-§_r- -~r4'><-rid.-.<A/.4 /H5225./..§../is ,,,,E,,,,,,n um_ . Places‘ Signat NJ .. _ Z .... l 1 ______,____ M_ Daté'i'.......i/ . fic r ' c/I.‘ .....Ech.and Rec. l ....__._. _l.L_s..._._._.,i. 6. Details compiled bv .. ‘O‘b’ N-T‘ ""°'"‘ °‘ "°'~ “*1 5"" °'*°"°’ A.A.F.A.lOl written by, .. St. Is.:—Ar To__ __../___/._.._/\.2 Y ‘——---+3‘ Entered Discharge Certificate(*"ll?egister __.._Z...__.. .... ..En‘, red 1 - n 4A.A.F Al3l bi’ dlm-‘Ml R ' ....... ....... ‘\'\§il0\‘"¢¢'s ilriature and mrikl (al Certificate of Discharge No. ,AR1- c_compi|ed by Ech_ and Rec’; (bl Army Form A.l3l ggrportln to contain my Will(chi No "A47 ' ~4_N°n_eHecve Servie‘e:o U A M‘: ~ .. ( _/"’ .. . ignature of Soldler2$ V’ ..___. _ __ ........___._....__, 7 - "K _ ., Signature of Witnes ......... 4. %/L ' "Effective Period" means the period of service, less any wmtut 0 Z1 days- ormore for which the soldier was not entitled ta pay. 'Q 1‘Australia means the mainland of Australia and Tasmania.8 Donn not lncludn War Medals. <@??¢~<@s<+@<_?i%@~”ri'»_,sss ass .l s

iiitL» Xe . .-. .._~.DIl'lRMllIATlOR OF DIMOIILIZATION PRIORITY MMTTQV 0‘_ 1, em 2 ,5“ N. /2 2A. ARMY no. SURNAME .... " " e ._ ....._c ..... ............. OTHER Date at Commencement of Full War Time WerServlce..e2}/...;_§../.Q€2‘I Age at commencement at Full Time War Service....._._Z.é;.._.....yeare.I. ASSESSMENT OF NORMAL PRIORITY. PeinuI. Length at Service in months X 2_lmeIee) or X I (females) .. . . .. . ..__...§._...Z._;\;'?Z. Age at enlistment in year: X 2 (males) or X 3 (temalesl .. . . . .. .. ., .. .. .. .. _.....h2A... I3. Dependency Status (melee only)-one point for each month of Service .. .. .. .. .. .. .- .. .. .. ii- Total (Normal Priority) 4 Q _4.Dependency Status (females en|yi—ineert "A" ch"5_ mm _M,,_,, ;. .. .. .. .. .. .. .. .. .. .. .. .. .. .. __~ 6. Records and assessment checked. _on»..._.,_Q.2.1.._...ii_¢i.w_____._ ”’&:’/~"*=»J¢"-Q Q1’/" ,.Slgnature 01 Officer.‘I. I desiredischarge in the State dfU I intend to apply— Dam £8, , 4; _‘(ii For service in the Permanent Military Forces. _ / . . ‘‘(iii Fer service throughout the Demob period -aw ..._._____._ Signature at Member,l1‘ ‘ifi. _. ,5~.'2’>'-_n_;-1T;~:£ivq]. 13 JUN”C. DECISION OF COMMANDING OFFICER OR REPRESENTATIVE OF SERVSICE ON FORMATION H-Q.1'ignature. Date.‘Not to be retained W e .I .T i. _R _ - _’f;fY)?~*‘*‘"1»;_~~~.%s M D. ALI-OTMENTOF SPECIAL PRIORITY.Reason and Authority......_... ..___..... ’ ‘ ___ _ ___Du ._._.=. "'-'“ Signature of Commanding Officer"'*~'~-~----~~'"*"--"n-* - er Representative of Service.INSTRUCTIONS.LENGTH OF SERVlCE.—-Monthsof service calculated from the date of commencement at fu|i~tIme service to the date notified by L.H.Q.AGE AT ENLlSTMENT.—Cempleted years of age at date at commencement of full-time war service,DEPENDANCYSTATUS.—Accorded only to members on whose behalf an allowance Is being paid by the Army fer one or more dependants.MAlRIAGE.—Cleims by female members for discharge an account of marriage will not be recognised ifsuch marriage ha; nae beq‘ _ ‘ (III Applicant for Pemuanent Military Fercae. INI Services e|eential—-Retained untii‘ "Shite aut tehere apprepriete. x _ . Ami“-||y_ reported, and in consequence has not been entered in their personalrecords. \- _ TPART C.—lEA$ONS FOR RETENTlON—-to be inserted as appropriate '* (I) Member et Permanent Military Forces; _ ‘ (Iii) Service throughout Demob. period_»vqIuntery_ I ~K I

@GENERAL INDEXAAF—AZ74115 mm Admit from Amb Train s1/e/45/ 5“'"a'“°----»'»-~-~(-bf-1° m,,,;,-_-;; ------------- --Malaria rm. vs-was" " Disoh to 105(A)MH 5/9/45 K,w_Malaria M:'l‘. Hepatitis /vssezo °' Nam“ ----------------------------------------------- --././//.//Rank .................... ...................... _.._ ............ ../V Uil ................................ »' Personal or Army No ..... .............. ..

’ i *”i”* _—_— .A. Form W312]Adapted.15", 2-‘ -(a ,-'1.-V|i.~!§\‘é;‘H -:H~l11,1-:- v ,, I, ;, .-; (Revlled Pm. 1948)Honour orArmy Number..¢_¢§Q§§§gZl‘:.....{..:;... ....1.1;.;;:¢<;...V.:.u:.¢u... \_w;..l.,.v./- , i / ,..,~,,;-4, -‘iwrdRmk ..............fmmsnsimssmmm,mpmmM“,immW,f‘§§§Q §;§'f§§E’I§§‘§§{*~~ ~iL~MMChristian Names (in full) 1l5:'M8.‘Y"4’5""“ ' 1”" " ' “" 1' ' ' 1 “‘ K7 ........... mm _M5'mE';:-;3§£'ié';-ew“; 1"]Surname,-.......;.RIQKERl.H§.:.i.........c..u......;,,,n,...:.z,;.‘..=z, cG\qmm8<l1d,6I1: 171 153?-151? Wen Q»..r "‘..‘Y.’:. Hlaarmaya ‘WU ¢"'”"“' i 1" E: ‘W’ ’v' "’1'Unix‘....§.',}j§.,..=..?/.(5,.§AIl?$1llif;§IlI{l.4BI!1q."Ill.I.14...’.'.'._f.4..‘.‘.[‘.[.. as) c J .-ms:1s1'svsws;»{=mag»e¢m1"-- -» l - H1‘.-'l \\, \,/6‘AusVmv;11..:=.-l , 1» ;.1>1v....... 22 ; >:¢ WK, 1 ,1“)-H I V“;Next <>£-.Kin.t.Mn.,..;W:L.1.liam...1B;Ql€?r;lKl;l\I§is.1:...._.A.V_V ,1 V. : , -AU3U‘?-.-Fth(%MMAH$W@m.&%§Relaucnshlp.....u§......?.?.:.... ..... GOG’ Aust Arlginy 1HomeAddmon2ImAlexandér;Str€etL;wwLH 2 Jun‘45 ‘“""" >"7“- '~"mmwasmmmw2sQsEE§i,ms,A,sL§m;‘ mi‘ "“ “A l 'l‘ “ 'Date oiBirth.._.Ll6.;»Sp....25.......,.,,.....;.......,..,iDate of Enlistment:YAXE._._...,.,'5.Q...QGt...42,,t_..-... , . _ , ; _ _ ‘ 2‘ .‘PMF ...................... ., CMF_..L...27V-F.91).<..42..1..a..:......L....-.. .> W“ V , V ‘ V . u .~ .\\ .1 ,_,. w Dace Received»‘Daze Forwarded , - I {T9 be lei‘ blank £or,§PP¥0Va1 Of C. in , ' VY ' ECO ":1: ‘ I J“ ‘ V ‘ "I VBrigade 16 May '4%\i_8 May. ,4 .l p 3 DED FOR_ IMMEDIATE AWAR II-]/-' U2?*wcL _ , D0 (fl/*1Division 20 May 4 25 May 45 “V; “HEXV "‘Y\4, M; ,.V. AH» -Corps— V, -. Cox\1n1annIcr-infrgeralyAmy y 26 May 454 2 Jun 45 AUSTRALIAN w11L1V1_Am. l,OR‘Ll*é@Sf_-CITATION (Date and lace of action must be statmé): —-rue-.-'r1cKER1N<§ is a member of 1Pl B Coy 2/e Aust Inf en.On 4 Mar 45 his pl, which was attacking a strong enemy posn atTENTAGEM in the MAPRIK area, was held up on a creek line by hy enemy fire.Pte PIGKERING moved fwd alone, crossed the creek underfire of an un-located enemy LMG post and stalked and killed two enemy rfn.Then locating the enemy LMG which had been holding up the adv, hedashed fwd regardless of his own personal safety and killed the enemy LMGcrew,thus allowing his pl to cross the creek in safety and to continue theattack on the main enemy posn.Later, whilst crossing cleared fire lanes, the sec leader (Cpl A MHAMILTON) was fatally wounded and Pte PICKERING, againfearlessly exposinghimself, rushed fwd, shot an enemy at 10 yds range, picked up the woundedsec leader and carried him to a safe place.He then moved back, rejoined his sec, and took part in the finalassault-His actionsthroughout were of a courageous and outstanding nature\ and were, to a large degree, responsible for the success of the action.

. . _ l.NSTRUCTlONS FOR CQMPLETION OF A.F. W.3l2lI. A separate A.F. W.Sl2l completed in duplicate (where possible typed) is to be used for eachrecommendation. " 1 - - . .2. Both the substantive and temporary or actingranks will be shovm. _ y3. By unit is meant a regiment and the corps to which it belongs, e.g., 5 Aust. Armd. Regt., l Aust.Garr. Bn., 2/] Aust. Inf. Bn., l0 Arust. Fd. Regt., l Aust. Ord. Stores Coy. (A.A.O.C.), l0IA.G.H. (A.A.M.C.(Med.) )-. If the individual is extra regimentally employed, this {act shouldalso be stated, e.g.. I Aust_. Armd. Div. Sigs. seconded as B.M. l Aust Armd. Bde. _ V4. Wherever possible the date of birth‘ the nextpof kin, the homeaddress, and the date of enlist.ment will be shown in the spaces provided, in order that time will not be wasted in obtainingthese particulars from the Records Olces.5. The date the recommendation is received by each formation,and forwarded to the higher fon-mation will be shown i_n the space provided; ‘I . ..6. The recommending oicer will sign in the space provided, Shwing ,hi._s name, rank and appoint-ment, and leaving the next space for the use ofthe ofcer of the higher formation.t7. The honour or award recommended is shown in the space provided. ‘Indicate whether it is“Immediate”, “Periodical” or “Special” by showing “Imm.", "Per." or "Spec." under the award.8. Thecitation should not normally be greater than can be contained in- the space provided, butif it is longer, it may be continued on the back ‘pf this form. Do not use another form.9. Recornrnendations for the V.C., G.(J., an‘<i'G.l\/1, willzgbeisupported by signed statements of at1»least.§th1‘ee witnesses of the act [or which the award gs rt-r'0m.mcn(lQ-d. Wherciver possible thesestatements should be on oath. ' ' 'l0. G.R.O. A549 of 1942 is to be read inconjunction with these instructions. ' i1 V 5, ... _ 0tnLv¢ow , 'Q~KvI.3t ,t

2% -~\_‘<E ,u. mos-1 (Adled)SERVIC/E':\ND CASUALTY FORM my ,,o_§;;X (3/7;{ g v;"/ O nit- "Z*-»£v-(U ‘Q L Q 51 * ' u ............. cnrmn.w¢n; h,>...A,;.*:;,.l;:..,:_L..>.*=.._.;g...1>g2;Q~ ....... */ ~_Lmm. ’ ' _Datz_of ........ ..Q»-;¢.@¢; 5‘ 4: y ‘8 Date and Place of t E T1.-§d¢_ or Marital Next of Address of Next of t“ r, 1vJi_'_m..‘_J ‘_‘_€:_;_ ......... ‘iv , - IEReligion.-m.__. .... ........... .-_ _ Ch. L en‘ " ‘ .....~.-t---Q " ",__:°_':9""'’ I Distinctive ld n4cauon—-Colbut of Hm z Eynpron: | , Agv W"E ‘ ~ :%-77§4».:."'3"*..1.......“'= ”*"‘$“m%H*»m‘W*mm.‘"‘?*'°*‘”.*:‘?f"““§.l“"-*l:#§4'$* * .,..n'-....," ma: ~ -*‘ "3"'$.. .;':?=;.n D‘, , B|:I::nlh@hlrhmmIn@b\rkn&Ianhunan1'thnBoofVullnn1u¢1n¢hn'lml[h.Iu.)- \ \ 51¢,“\. - \77*..-.-.-.-.¢.......-........‘~ é /W A ..,;'Z- /0 v'2we . . 7 M8 ; ,,¢1_,,_"_(_f#;’**%Z)/ 4,55% At Nagy Ar /17' _.; 12 1% $7‘ $9"£1 ,/ "‘ '4 ,./25:1 L‘, ;_;»_“' I »_~ ___ '. - ~ " ,_ ... .- , '7I"iI§if§§iI1fillISQIIlIjII§IIIIj;§if‘Z:,éf§fj;%;i¥>.§l§I1.§;.1Y11Ifl11@llII$)~.:,// 9’ £0‘ =7&1".....:.:._..........¢....1.........1.‘ .:. - —»4¢zz.¢a,<x,,z5-?Z/ ( /0-/.2 . ‘ wyr *‘?\‘: . ., '§.»_\-: ~ 1IL“EI1

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‘____r__ _. ._...-“<-R\.ER_‘\NOTHING TO BE WRITTEN IN THIS SPACE.IJL 200111 10/llSERVICE AND CASUALTY F0Continuation Sheet to A.F. B.103—1.RMA.F. 5.102.-2 (Adapted) »Sm 4 .2 7/3:4/ii/»/44’ ‘J - B-!'3P°5TRecord at all casualties regsrdlng promotlons (opting. temporary. local or subatantlve).appointments, transters, postings, attachments. &c.. furlelcure of pay. wounds. accidents.'—j'-i l ' admlsslon to and cllsclmrgs (tom Hospital,Casualty Clem-mg Stations. &c.. Date 0!Due From whom dissmbarkaclcn and embarkatlon 11-om a theatre ct war (lncludmg hn-lough, ac‘). ’Date ofCasualtyPlace ofCasual LyAuthorityw.“3u§ 1,B.:.0-J9.or otherDocument7 3;‘J31\->= ~ Yiv‘-54-: 7II.... /7 W,‘ 1,12 Q-24__ 1.12.44/>4‘-l]§§§:§§i§?§::_iI.i§§§:§l:§:§};fi6 ? -fr4./‘H’-~/r c;€“z”‘””“""m/¢;¢.4/4154-L'1,,," .5”maE?illi?as /M// 1/_.~.¢ -~ @-1Aus’a . than-lgod can-us ) - , 13,44 F 1.-ms, .. £141.30!»Disoztllnarlmdllkttape Y 7___ .. ..... an M .. . , mu -' ,. ,_ .1./M/...<4'z../.».', ....... 1 ...... ,. " " llll ., .... = - /" '7fl in///».-Lav\.Z'‘..'-J;_ 303,0;¢;¢ ....... ,?v]V_t"4444;“.; V l'~»:=‘=‘£#€¥ ‘- ; l‘.IF‘'.~ . -104. ....... ..... ..... ..J/6aw "1'-", 1" _ . _ _p-_._ ,I4/f9 -" ‘I1’ii)W»?Q .I’. '£§*‘§l. 9: 9. -_._ _.=-n‘.. ___; Q.-_1~-Q, .-‘ I“W ‘J. I‘

>VIv\ririi\-\\:|\/ SERVICE AND CASUALTY FORMA.F.B.103.—2 (Adapted)9;" ff M 2/ 7/ . _ mmu tlon Sheet to A.F. 13.103-1.u.I. zoom um: % Ll’ IREPORT Record of all casualties re urdlng promotions (acting. temporary, local orsubstantive),A Ointmenzs, tr sfers, sungs, attachments, 6:0" forfeiture 0! pay. wounds, accidents, gate lo!S M B I2PP in P0admission to and di charge from Hosplml, Casualty Cleanng Sta ons, &c., D we of aaun y' From homdxsemburkemon and embarkunon from a theatre or war (Including furlough. Am).Place ofCasuahyAuthorityW301 1.B2065.or otherDocumentInitialsof OlcerCermymgCorrectness0! Entries 7 ~/ 1 9” 6,, 14 QM, //9'4/1-L /47»;w/W/rw/*0» jvf ..:1Q..f[r....é£4..l:...Ef§.. 4. (1 fr/6 A ' .... z.A~,.A.Az,.-$4 m~G/vb Md/I 491/IIIii]@iII:II m4.’.G.A( """""" .,IIIIIIIYIII1If" "...... 4.%.>iII ., .... . 24/ Va A 24?.90_.>4’4.>_+%);§*"'..2 )3‘./(.4 6 ./.. /1 Y5 I .1’/#-"/*/4 ....m4. ....... ..SIHJ. NI N{~I-LJJHM EH OJ. DNIH-EONIIOVJSj *'—“\K1

I 7 — =-=_=._ _£w.;¢..;7 ,1, . \ ;» Rmu y 1 A A.A. Form Mob. 1 ,.,, V __ _____ ___ I (Revised March, 1941)yjlw ""1*"“""Mr“~“"“*"" lo%;\ \AUST ILITARY FORCES..::::;'::;~ W.//~ —P.\>ATP~ E‘MOBILIZATION ATTESTATIONFORMTo be lled in for all Persons at the Place of Assembly when called out under Parts III. or IV.of the Defence Act, or when voluntarily enlisted.S‘!/~8"7.3 / .Arm No ............ .................. .. . ...................... ...__ , _ -Sumjome..2>£/‘I . . ' ' _ __s _ .. _ ___ _ . - Christian Nam _. ._... _ (nuocx oarrrna)Enlisted for war ser-vice ........ A ,Questions to be put to persons called out or presenting themselves for enlistment.“_ 1. 1. what B your name? other2 W 2. In or near the town ....... ....... here were you born? ’In the state or country of_./‘gd 3. Are you a British Subject? .. 3. “ ' -.-.“Have you filled in a N.S.R. Card....... Ride a Horse........... ......... ~. ‘ . "l;rcyc1e........... Usual Tradeor Qccupatlon... .. .. ... Have E/Ou a mo O _- ' ‘ I k ..;.........mode1....-Present trade or Occupat1on....... ... 1f S0» ma 6___ Any knowledge or First A1d.......Emp1oyer.... .... ...... . ... . _‘ .... Any knowledge of Wire1ess........ -Address... . . . . ....... . .... -u §- k 1 d e of or se code.-----Drive a motor car......... ... . . .. Jorllng now e gish to make any allotment...L. ‘Drive a motor lorry............... ... Do you W. a ndants........--1 D0 running repaw rs . . .. . . . . . . . . . .. ... Have V0“ any 699\DIV. I .3-1 Drive a Horse Team. . . . . - - . » - -- -- - -- - PIQCERING Km.1 21 Alexandra st.3 oswr __. _ _ __ V PR t- ,2 O ‘. be answered if the man has a conscientious objection to ...... . '‘ ‘"I“ C ‘_‘ lo W--mWmMWmWmWmmmHWmMw____~mMdoing so) l. Certicate for entry to Secondary School..._.....,.Q_gL._._..4.Intermediate 2. __.___.__~._ll. Which, if any, of the following Educational Qualications do /47you possess P3. Leaving 4. Leaving Honours... .....__._.________,_____5. Technical ~-.-. ._§[W@__. ___... _6. University 7. Other Diplo .....-....e.....&.....u....._____-...-___________12. Have you ever been convicted by a Civil Court P 12. Ifso—(a) What Court P (b f h if P (a) _ )owatoence l (b) 'sT?’$‘__.l. ___ _I, .... ..... ......... ..do solemnly declare that theabove answers made‘ the above ucstions are true. '% 2Witnmed by. ...... .. . . .......... .. .. . ______________Sin 1 reo A testin 0 /' .) ,g f g 7 M 1!?! Céf ggnalurg0 Tho person will he warned that nhonld he ‘Iva fnlna nnnwars to any of ensue quoutlono no will bu llnblo to heavy ponnltlns undlrthe Defence Actu-l _

mu / 1 ' i ' A.A¢ Form Mob. l <RW<1 MM-.1»41>.;.........]7% ,A,vS;.R3;f9);;( IWARY FORCES» /,___ _address _ P I D AT A E‘ gutMOBILIZATION AT TESTATION FORMTo be lled in for all Persons at the Place of Assemblywhen called out under Parts III. or IV.of the Defence Act, or when voluntarily enlisted.Army No ......... Surname Christian N_ (II-0 K CAFFTALBU mt_ ....................... Enlisted for war service ....................... .... ..(Place)Questions to be put to persons called out orzresenting themselves f enlistment?1. 1. What is your name? .. ‘ <52“: -F“‘:"':'|‘")Other names..,............ ._. ........................._....-.-._......_......._._.._..._2. In or near the town 2. Wherewere you born? . In the state or country .... ._.._-.--.‘ 3. Are you a British Subject? . 3. . ...... .1 4. Age........... _ . . ._....._......-is your age and date of birth? _Date of ............. ._-'hat is your normal trade or occupation ? Grade ifany ? 5. (a) esent occupation? (b) _________ ._te you married, single or widower? 6. (a) 1‘ married state date of marriage ? (b) _. iwe you had previous naval, military or Air Force service ‘ Meither in peace or war ? If so,where and in what arm ? L 7. (a) .. . - What was the reason for your discharge? ..., (b) .... ____._...i 8. Name ......... __is your actual next of kin ? (Order of relationship.— Address :, eldest son, eldest daughter, father, mother,eldest - J”ther, eldest sister, eldest half-brother, eldest half-sister) _ . _.. - _Relationship ........ 9. .... ; is your permanent address? /1 _ .........._.,_......_....._.tia your religious denomination ? (This question need not ‘I 2 2 -beanswered if the man has a conscientious objection to . doing so) . Certicate for entry to Secondary School.-._....._.. ;___..._._.__...._2 Intermediate _____ .________....ll. Which, if any, of the following EducationalQualications do i M/lyou possess ? 3. Leaving _____________ __\,~.-\/ \,'—.~_1P—'r-1 O> 4. Leaving 5. Technical . . . ..._.....___.__..____._.,__.6. University Degree.................Q@............... . .._....._..-._.._.__._.___ 7.Other _ _ 12. Have you ever been convicted by a Civil Court ? .. 12. ...... .. If so—(a) What Court P . (a) (b%what offence? (b) ___________ __/ s - - ‘ ) v solemnly declare that theabove answers made the aboveuestions are true. / _) . ..... ..... ........... as -Sign t re of A testing or Wztn eei‘ zgnature° Thu plroon will be warned that should he give false anuvvun to any of theta quantlanl ho wlll bu llnblc to holvy plnlltlol unurthl Dnfunce AMI-v1

TBMEDICAL EXAMINATION \I have made full and careful examination of the ahovenamed person in accordance \\ith the instructions contained in theStanding Orders for Australian Army Medical Senices. In my opinion he is—"1.Fit for Class I.2. Temporarily nt f r Class I1 _ »<>4 .._.3. Fit for Cl ss II.4. Tempor rily u tfor Class II . . 7 ._ __ , ...._5. Unt or m' itary service'|'_..... . . >> . -Plac _ .. . . Da .. . 4. __ .Signature of Examining Medical .. .. ... ,. .' Classications which are inapplicable to be struck out. TReasons for un iess to be stated.COATH OF ENLISTMENT1For persons voluntarily enlisted or called upon under Part III. or Part IV. of the Defence Act, and notbeingmembers of the Active Citizen Military Forces to serve in the Citizen Forces in time of war. Not compulsory forserving members of the Forces or those allotted to the Citizen Forces under Part XII. of the Act, but unless inanycase an objection is raised, the Oath should be administered to them as part of the ceremony of attestation./ ‘ . _ ’¢ . _lie /{“)("" that I willwell and trulyserve our Sovereign Lord, the King, in the Citizen Milit Forces of theCommon“ ealth of Australia forthe duration of the present time of war, and for a period of twelve months thereafter, or until soonerlawfully discharged, dismissed, or removed, and that I will resist His lVlajcsty's enemies and causeHisMajesty’s peace to be kept and maintained, and that I will in all matters appertaining to my service faith-fully discharge my duty according to law.in illrlp 13:1: tréuhlSignature of Person Subscribed ., Before me—Signature ofAlfetlirlé’ . I Persons who ohject to take an oath may make an afrmatinn in accordance with the Third Schedule of the Defence ActIn such case the ahovc form will he amended accordingly and initi.-llctl hy the Attcsting Olliccr.ltRESSCHANGE QF ADD TOMUST BE N0T\F\EDAREA OFFKJER.t116' Victorian Railways Printing \Vnrl<s, North Melbourne