I CERTIFY, ON HONOR, That I have minutely inspected the Volunteer, __________ previously to his enlistment, and that he was entirely sober when enlisted; that, to the best of my judgment and belief, he is of lawful age; and that, in accepting him as duly qualified to perform the duties of an able-bodied soldier, I have strictly observed the Regulations which govern the recruiting service. This soldier has __________ eyes, __________ hair, __________ complexion, is __ feet __ inches high.
Regiment of __________ Volunteers.
Recruiting Officer.
DECLARATION OF RECRUIT.
I, __________ desiring to VOLUNTEER as a Soldier in the Army of the United States, for the term of THREE YEARS, Do Declare, That I am __ years and __ months of age; That I have never been discharged from the United States service on account of disability or by sentence of a court-martial, or by order before the expiration of a term of enlistment; and I know of no impediment to my serving honestly and faithfully as a soldier for three years.
Given at __________
The __ day of __________
Witness: __________
No. __
__________