THIS CARD MUST BE FILLED IN AND PROMPTLY RETURNED BY ALL MALES BETWEEN THE AGES OF 16 AND 65 INCLUSIVE.

NATIONAL SERVICE CANADA.

Copy only

1. What is your full name? Ethelbert Olaf Stuart Scholefield 2. How old are you? 41 years. 3. Where do you live? Province: British Columbia 4. Name of city, town, village or Post Office: Victoria

   Street: 939 Pemberton Road   Number: 939

5. In what country were you born? England 6. In what country was your father born? England 7. In what country was your mother born? England 8. Were you born a British subject? Yes 9. If not, are you naturalized? [line drawn through response space] Came to Canada in 1887 10. How much time have you lost in last 12 months from sickness? 1 1⁄2 days 11. Have you full use of your arms? Yes 12. Of your legs? Yes 13. Of your sight? No, shortsighted 14. Of your hearing? Yes 15. Which are you - married, singe, or a widower? Married 16. How many persons besides yourself do you support? four (4) 17. What are you working at for a living? Provincial Librarian and Archivist. 18. Whom do you work for? Provincial government (24 year's service) 19. Have you a trade or profession? [line drawn through response space] 20. If so, what? Librarian 21. Are you working now? Yes 22. If not, why? [line drawn through response space] 23. Would you be willing to change your present work for other necessary work at the same pay during the war? Certainly if it would help 24. Are you willing, if your railway fare is paid, to leave where you now live, and go to some other place in Canada to do such work? Yes

INSTRUCTIONS FOR FILLING IN THIS CARD ARE ON THE OTHER SIDE. IT ASKS 24 QUESTIONS. COUNT YOUR ANSWERS.