CERTIFICATE OF MEDICAL BOARD. The Candidate will fill up and sigh the following declaration before presenting herself for medical examination. I declare upon my honour that:- 1st. I have never suffered from any serious illness or injury, except as stated below*. 2nd. I am not, as far as I know, at present suffering from any mental or bodily infirmity, or physical imperfection or disability, except as stated below.* 3rd. I have never suffered from "fits" of any description, except as stated below.* 4th. I have fully revealed to the Examining Medical Officer all circumstances within my knowledge that concern my health. Signature ________________ Date ____________________ The President of the Medical board will, after reading the above declaration, and examining the Candidate, complete the following certificate. I certify that I have examined __________ and find that she is _________ for service in the Women's Army Auxiliary Corps. (i.) At Home. (ii.) At Home and Overseas. Station ____________ Date ____________ Signature _____________ CERTIFICATE OF ENROLLING OFFICER The applicant _________ was gazetted on the _____ day of _____ 19 , as _________ and I hereby enrol her in the Women's Army Auxiliary Corps. Date _______________ 19 . Place ___________________ Signature of Enrolling Officer.

• The words in italics should be struck out in case there is no exception to record.

Insert "fit" or "unfit".