World War I Draft Registration Card A—(5 June 1917)
Updated November 25, 2022
Form 1 REGISTRATION CARD
1. Name in full: Max Parker Gilliam
Age in Years: 23
2. Home Address: Crittenden, VA
3. Date of birth: March 9, 1894
4. Are you (1) a natural-born citizen, (2) a naturalized citizen, (3) an alien, (4) or have you declared your intention (specify which)? Natural Born
5. Where were you born? Crittenden, Virginia, USA
6. If not a citizen, of what nation are you a citizen or subject?
7. What is your present trade, occupation, or office? Quarter Master Merchant Marine
8. By whom employed? Where employed? Crowell & Thurlow, Boston, Mass.
9. Have you a father, mother, wife, child under 12, or a sister or brother under 12, solely dependent on your for support (specify which)? None
10. Married or single (which)? Single
Race (specify which)? White
11. What military service have you had?
Rank branch years Nation or State
12. Do you claim exemption from draft (specify grounds)?
I affirm that I have verified above answers and that they are true.
Max Parker Gilliam
REGISTRAR'S REPORT
1. Tall, medium, or short (specify which)? Tall
Slender, medium, or stout (which)? Slender
2. Color of eyes, Gray
Color of hair, Brown
Bald Yes
3. Has person lost arm, leg, hand, foot, eye, or both eyes or is he otherwise disabled (specify)? No
I certify that my answers are true, that the person registered has read his own answers, that I have witnessed his signature, and that all of his answers of which I have knowledge are true, except as follows
Hampton S. Thomas, registrar
Precinct Ebenezer
City or County Nansemond
State Va
Date of Registration June 17, 1917