Date .......... Usual Signature ..........

For Office Purposes, please add your full Christian Names and Surname legibly written.

I certify that the above declaration is, to the best of my knowledge and belief, true; and that M ............ is a fit and proper person to be employed by the Joint V.A.D. Committee.

REMARKS:--

Date .......... Signed .................... Commandant.

Date .......... Countersigned .................... County Director.

NOTE.--Commandants are held responsible for all statements on this form being accurate so far as it is possible for them to find out, also for the fact that the member who signs it is a British subject, and in every way suitable for appointment by the Joint V.A.D. Committee.

This form must be signed by the Commandant, who should then send it to the County Director for counter signature and forwarding to Headquarters.


Application No.