H.—3o

6

APPENDIX II—continued. Summary of Inquiries.

History Card (back). Assistance given by department.

APPENDIX 111. Interviewing Officer's Report Form. Particulars of Returned Soldier (Front). 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 . The Officer in Charge, Police-station 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. Tt is desired that the inquiries should be made in a sympathetic spirit, in order that the Department may be able to form a true estimate of the man's needs and merits. Please return report direct to this office as early as possible. J. R. Samson, Officer in Charge, Discharged Soldiers' Information Department. Interviewing Officer's Report (Back). 1. Name and address of soldier : 2. Is the man of good character ? 3. Are his surroundings respectable ? 4. Is he living with relatives, or with whom ? 5. What is the nature of his disablement ? 6. Is he fit for employment ? 7. If he has obtained employment what are his wages and the nature, of the work ? 8. If unemployed, does he desire employment, and, if so, what kind of employment does he wish for ? 9. If incapacitated, when is he likely to be sound and well and ready for work ? 10. What employment is he desirous of obtaining when restored to health ? 11. Do you think he would be capable, of undertaking that class of work ? 12. Has he' applied for a war pension ? If a war pension has been granted, what is the amount ? 13. Have you handed the man the information leaflet enclosed herewith ? (If the man does not desire the Department's assistance, please obtain his signature here.) I do not require the Department's assistance in obtaining employment. [Signature.] I Any other information which interviewing officer can supply.) , Police Officer. [Dale.] Station.

Character. Capacity for Employment. Employment desired. Remarks.

Employment provide! 1. Financial Relief (in Addition to Pension, if any). By Department. By Patriotic Fund. GENERAL REMARKS.