VOLUNTEER ENLISTMENT.
STATE OF __________
TOWN OF __________
I, __________ born in __________ in the State of __________ aged __ years, and by occupation a __________ Do hereby acknowledge to have volunteered this __ day of __________ 18__, to serve as a Soldier in the Army of the United States of America, for the period of THREE YEARS, unless sooner discharged by proper authority: Do also agree to accept such bounty, pay, rations, and clothing, as are, or may be, established by law for volunteers. And I, __________ do solemnly swear, that I will bear true faith and allegiance to the United States of America, and that I will serve them honestly and faithfully against all their enemies or opposers whomsoever; and that I will observe and obey the orders of the President of the United States, and the orders of the officers appointed over me, according to the Rules and Articles of War.
Sworn and subscribed to, at __________ this __ day of __________ 18__,
Before __________
I CERTIFY, ON HONOR, That I have carefully examined the above named Volunteer, agreeably to the General Regulations of the Army, and that in my opinion he is free from all bodily defects and mental infirmity, which would, in any way, disqualify him from performing the duties of a soldier.
Examining Surgeon.