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Copyright JANM
questionnaire
Copyright JANM
Copyright JANM

questionnaire

Date1943
Mediumpaper
DimensionsH: 10.5 in, W: 8. in
ClassificationsArchives
Credit LineGift of Mary N. Karasawa
Object number2006.80.4
DescriptionOne (1) four-page form "War Relocation Authority Application for Leave Clearance". The form is one piece of paper, folded to form four pages. It is form WRA-126, rev., Budget No. 13-R022-43. Approval expires 7/31/43. Application is detailed questionnaire (33 questions) covering family members, citizenship, voting record, education, employment, religion, travel, languages, foreign investments, arrest record, magazine & paper subscriptions, relations with Japan (citizenship, repatriation, work for Japanese gov't./consulate, sending kids to Japan), willingness to serve in Army Nurse Corps or WAAC, swear allegiance to USA and foreswear allegiance to Japane emperor or other foreign gov't. or power, listing of employment desired and location of preferences.

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