H.—3o

10

APPENDIX V (a) —continued. History Card (Back). Assistance given by Department.

GENERAL REMARKS. APPENDIX V (b) Discharged Soldiers' Information Department. Interviewing Officer's Instructions and Report (Front). PARTICULARS OF RETURNED SOLDIER. Name : Regimental No. : Address : Rank : Occupation prior to enlisting : Next-of-kin.* * Supplied for purposes of tracing man if address is changed or is insufficient. Telegraphic Address : " Decide, Wellington." Telephone No. 2183. Head Office, Wellington, ,19 . I am directed by the Hon. the Minister to request you to have inquiries made immediately regarding the above-mentioned returned soldier, and a report furnished on the other side hereof. It is desired that the inquiries should be made in a sympathetic spirit, in order that the Department may foe able to form a true estimate of the man's needs and merits. Please return report direct to this office as early as possible. Officer in Charge, Discharged Soldiers' Information Department. Interviewing Officer's Report (Back). (To be answered in all cases.) 1. Name and address of. soldier: Is the man of good character ? Are his surroundings respectable ? Is he living with relatives, or with whom ? 2. Is he in good health, or is he still suffering from disease or wounds ? 3. Is he fit for employment, and, if so, has he obtained employment, and what are his wages ? If ho has not, does he desire employment, and, if so, what kind of employment does he wish for ? 4. What are his means outside his wages ? 5. Has he received assistance from any patriotic society, &c. ? and, if so, give amounts and dates. 6. Is he receiving full military pay ? 7. Have you handed the man the information leaflet enclosed herewith ? (To be answered in cases of men at present incapacitated but likely to make a good recovery.) 8. When is he likely to be sound and well and ready for work ? 9. Is he desirous of present employment, and, if so, what work could he undertake % 10. What employment is he desirous of obtaining when restored to health ? (To be answered in cases of men permanently disabled by sickness or wounds.) 11. What is the nature of his disablement 1 12. What employment do you think the man is capable of ? 13. What arc his own ideas on the subject ? 14. If unemployable, in what way do you think he could be best assisted ? 15. Has he applied for a war pension ? If a war pension has been granted, what is the amount ? (If the man does not desire the Departments assistance, please obtain his signature here.) I do not require the Department's assistance in obtaining employment. [Signature.] (Any other information which Interviewing Officer can supply.) [Signature.} [Date.]

Employment provided. Financial Relief (in Addition to Pension, if any). By Department. By Patriotic Eund.