If he has any defect in either arm or in either leg describe fully, and state to what extent it interferes with the proper function of the limb.
(Varicose veins, ulcers, or any deformity should be specially reported.)
8. Has the applicant any rupture?
9. Has the applicant varicocele, hydrocele, internal or external piles, fistula in ano, or any cutaneous disease?
If so, describe the disease, and state to what extent the applicant is afflicted.
10. Has the applicant any defect in the functions of the brain or nervous system?
If so, describe the disease, and state to what extent the applicant is affected.
Has the applicant ever had an epileptic fit?
Is he subject to these attacks?