FOR IDENTIFICATION. 



Ml/Name 



Ml/ Residence 



Ml/ Business Address 



Mu Home Telephone 



Mu Offce Telephone 



In case of accident or serious illness please notify 



The malie of my Automobile.. 



Its number 



„ Number on case of my Watch 



[ Number of the works 



' Number of my Bank Book .... 



My Welglit was 



On 



I and my Height 

 \^SIzeofHat... 

 " Hosiery ■ ■ 

 " Cuffs.... 

 " Shirt.... 



.feet. ...inches 



.Qloaes 



.Collar 



.Shoes 



.Drawers 



