| Soldiers Discharge Record |
| Soldiers’ Form |
| Honorable Discharge From The United States Army |
| |
| To All Whom It May Concern: |
| THIS IS TO CERTIFY, That _______ (name) ________ |
| THE UNITED STATES ARMY, as Testimonial of Honest and Faithful Service, is hereby HONORABLEY DISCHARGED from the military service of the UNITED STATES by reason of ____________________ |
| Said __________ was born in ____________ |
| In the State of When enlisted he was ________ years of age, |
| And by occupation a ___________________. |
| He had ____eyes ____hair____complexion, and was __ feet ___ inches in height. |
| |
| Given under my hand at ______ |
| This ___ day of _____, one thousand nine-hundred and _____. |
| _________________ Commanding. |
| |
| ENLISTMENT RECORD |
| Name _____ Grade _____ |
| Enlisted or inducted _______19__ at _____ |
| Serving in ________________________ enlistment period at date of discharge. |
| Prior service _____________ |
| Noncommissioned officer _________ |
| Marksmanship, gunner qualifications or rating:______ |
| Horsemanship _____ |
| Battles, engagements, skirmishes, expeditions: __________________________ |
| Knowledge of any vocation: ___________ |
| Wounds received in service: __________ |
| Physical condition when discharged: _____________ |
| Typhoid Prophylaxis completed______ Paratyphoid prophylaxis completed ______ |
| Married or Single _______ Character ______________ |
| Remarks: _________________ |
| (Signature of Soldier) _____________ |
