| 1. What is your name? | John Clarke | 
| 2. In or near what Parish or Town were you born? | Desborough, 
	Kettering, Northamptonshire | 
| 3. Are you a British Subject? | Yes | 
| 4. What is your age? | 18 years 9 months | 
| 5. What is your Trade or Calling? | Shoe finisher | 
| 6. Have you resided out of your Father's house for three years 
	continuously in the same place, or occupied a house or land of the yearly value of £10 for 
	one 
	year, and paid rates for the same, and, in either case, if so, state where? | 
	No | 
| You are hereby warned that if, after enlistment it is found 
	that you have given a wilfully false answer to any of the following seven 
	questions you will be liable to a punishment of two years imprisonment with 
	hard labour. | 
| 7. Are you, or have you been, an Apprentice? if so, where? to whom? and 
	for what period? | No | 
| 8. Are you Married? | No | 
| 9. Have you ever been sentenced to Imprisonment by the Civil Power? | 
	No | 
	| 10. Do you now belong to Her Majesty's Army, the Marines, the Militia, 
	the Militia Reserve, the Royal Navy, the Volunteers, the Yeomanry, the Army 
	Reserve, or the Naval Reserve Force? If so, to what Corps? | No | 
| 11. Have you ever served in Her Majesty's Army, the Marines, the 
	Militia, the Militia Reserve, or the Royal Navy? If so, state which and 
	cause of discharge | No | 
| 12. Have you ever been discharged from any part of Her Majesty's forces, 
	with Ignominy, or as Incorrigible and Worthless, or on account of conviction 
	of felony, or of a sentence of penal servitude, or have you been dismissed 
	with disgrace from the Navy?  | No | 
| 13. Have you truly stated the whole, if any, of your previous Service? | 
	Yes | 
| 14. Have you ever been rejected as unfit for Her Majesty's Service? If 
	so, on what grounds? | 
	Yes "under Chest Measurement" | 
| 15. Are you willing to be vaccinated or re-vaccinated? | 
	Yes | 
| 16. For what Corps are you willing to be enlisted, or are you willing to 
	be enlisted for General Service? | The Northamptonshire Regt | 
| 17. Did you receive a Notice, and do you understand its meaning, and who 
	gave it to you? | Yes. Sergt I Savage, IV B. North'n Reg't | 
18. Are you willing to serve upon the following conditions provided Her Majesty should so long require 
	your service? 
	(a) For the term of Twelve years, for the first seven years in Army Service, 
	and for the remaining five years in the First 
	Class of the Army Reserve, or if, at the termination of such period of Army Service, you are serving beyond 
	the seas, then for the first eight years in Army Service and for the remaining four years in the 
	1st Class of the Army Reserve. 
	(b) If, at the expiration of the above-mentioned term of Army Service, 
	whether of seven or eight years, a state of war exists, then, if so directed by the competent Military 
	Authority, to serve in Army Service for a further term not exceeding 12 months 
	(c) If, at the expiration of the above-mentioned term of Army Service, you 
	are so required by a proclamation from Her Majesty in case of imminent 
	national danger or great emergency, then 
	to serve in Army Service so as to complete your term of 12 years, and for a 
	further period not exceeding 12 months. 
	(d) If the above mentioned term of 12 years expires while you are on service 
	with the Regular Forces beyond the seas, or while a state of war exists with 
	a Foreign Power, or while soldiers in the Reserves are required by 
	proclamation to continue in or re-enter upon Army Service, you will be 
	liable to serve for a further period not exceeding twelve months. | Yes | 
I, John Clarke   do solemnly declare that the above
answers made by me to the above questions are true, and that I am willing to fulfil the engagements
made. 
	John Clarke 
	SIGNATURE OF RECRUIT    
	Henry Thompson Sergt  
SIGNATURE OF WITNESS
  | 
OATH TO BE TAKEN BY RECRUIT ON 
	ATTESTATION 
	I, John Clarke   do 
	make Oath, that I will be faithful and bear 
	true Allegiance to her Majesty, Her Heirs, and Successors, and that I will, 
	as in duty bound, honestly and faithfully defend Her Majesty, Her Heirs, and 
	Successors, in Person, Crown, and Dignity against all enemies, and will 
	observe and obey all orders of Her Majesty, Her Heirs, and Successors, and 
	of the Generals and Officers set over me. So help me God. 
	Witness my hand.              SIGNATURE 
	OF RECRUIT     John Clarke     
                                          
	SIGNATURE OF WITNESS
	    Henry Thompson Sergt   
	 | 
	CERTIFICATE 
		OF MAGISTRATE OR ATTESTING OFFICER 
		The Recruit above-named was 
		cautioned by me that if he made any false answer to any of the above 
		questions he would be liable to be punished as provided in the Army Act. 
		The above questions were then read to the recruit in my presence. 
		I have taken care that he understands each question, and that his answer 
		to each question has been duly entered as replied to, and the said 
		recruit has made and signed the declaration and oath before me at 
		Northampton  on this 
		24th  day of  
		October  1894. 
		Signature of the
		
		Justice   A.O.  G Maclesay 
	 |