^ntijiopanictuc <J9iiscibattans 



ma^ at end of Fortieth Year. 



1. Colour of eyes 



State whether dark blue> blue ; grey, dark grey ; browa grey (green, light hazel) ; 

 brown, dark brown (black). 



2. Colour of hair 



State whether fair brown (flaxen), light brown, brown, dark br.iwn ; fair red (golden, sandy), 

 red, dark red (chestnut, auburn), jet black. 



3. Chest girth round nipples 



(Measured with the arms down after counting ten.) . 



4. Strength of pull 



5. Acuteness of Vision * ; — 



Note the greatest distance at which No. I. is read in inches . 

 I, „ „ No. II. is read in feet.... 



Colour vision* 



6. Hearing. Greatest distance in feet and inches at which a watch can be heard. 



7. Any noticeable dulness or acuteness of smell, taste, or touch 



8. State of teeth. 



• See AppeuUix (or Tests. 



