Each Adult missionary should complete one of these forms and send by regular seamail to*

Mission Services Box 968 joliet, Illinois

tF
PERSONAL FILE
Date

1954

Name in full,
Sex

Complete home (for forwarding) addrpag

r;? -

Names and addresses of other newspapers which mi^t carry stories of your work.

^ DayZ MnnfTi _// Vf>ar/^/ ? Where baptised? 7^^ ^ / 2. On back of page please de^crib^any special circumstances regarding conversion.

Place of Birth

Marital status: Married_id. Single

Name

Divorced
Place

Widowed

Married at what gp A-!

Day Month Year

List children by fuU name giving place, day. month, and year of birth;

B- 4- 3f
C^^j' S/'^ ,
7Z

A2^
U

/ j- -

sr - s-^

Schooling (High School and on):

Name and Location of School
Number of Years

Major

Degrees with date

/i/iL

4^
^ "3 ^

/S 43 /9S0
ijs. oj

/^ty
influenual in leading others mo fulltime service (use aseparate sheetJ^you need more space)?
What thinp influenced you to become a missionary? Your own story in some detail mieht be

)es^ib
<^*.. I-Vl^ . I ^ . 1^, y. ^

Which of the followTn7SS:S^sS^gffi5^escr<^^^'^^

Evangelist\Z-^ Bible College teacher-i-Z Public School teacher

Doctor.
His occuaption.

Nurse

Social worker

Omce worker
^nhrixH.n?

nth^r

Home maker

Father s name and home address (if living)"

' / ' j
living?_^tl__

What positions of leadership has he held in the local r.hnrrh? Mother's full maiden name, ^ ,
Is she a Christian?
Name of forwarding flgpnt . 5 ap^enr

jg

Her occupation if employed outside of home

What leadership positions has she held in the local rbnmh?

y

T e lephone -

What are his or her duties:

/>

a jf ^

0'

" 1

Should money be sent to forwarding agent only?-1^ In what form?

Does your forwarding agent serve without salary?^

If jt can be mailed to

What problems do.you need help with, that Mission Services might provide?

8.tP ^354 "Bacil Adult missionary should complete one of these forms and send by regular seamail to:
Mission Services Box 968 Joliet, Illinois

PERSONAL FILE Date, Name in fnii _ Sex

Complete address on /i^ 3 Complete home (for forwarding) grfHrAga

Name and address of hometown npwapappr /

.'^'uulaJ
'

Names and addresses of other newspapers which might carry stories of your work...

Place of Rirfh.

Month,

VPar ///3

Where

On back of pageOplease describe any special circumstances regarding conversion.

Divorced. Widowed.^ Married at what age

what age?

Marital status: Married Single

List children by full name giving place, day, month, and year of birth;
Name Place

fli&-<)~~)WUJL^ GMjl^ "YVw^/^vy^a

C'^AjL>

Day Month

Year

i
/A-

Z 6-^ 6- /9^'-

/i- -

Schooling (High School and on):

Name and Location of School
Number of Years

Major

Degrees with date

/O

7-^

ferscJnal File - Page 2\aJ ^

ynut.^

^
(XHji^ (XMJi,

What things influenced you to become a missionary? Your own story in some detail might be influential in leading others into fulltime service (use a separate sheetdf^you need more space)?

V-

tLiS-.

Describe briefly in outline form the nature of your daily duties.

Which of the following terms most nearly describes your missionary status:

CmUju^

Evangelist,
Doctor Nurse

Bible College teacher

Public School teacher Home rv.QVar

Other.

z- /tu-qZc^^.

Social workerOffice worker

Father's name and home address (if living);

His occuaption

^ 1^4-^mjlZ^
jg j^g a Christian?

What positions of leadership has he held in the local rhnrrh?

Mother's full maiden name,
Is she a Christian?

^ yyiuxA^^o V
js gj^g living?

Her occupation if employed outside of home...

What leadership positions has she held in the local church?-Name of forwarding gg^Tif .

Address.,
What are his or her duties: S.

Telephone.
.

Should money be sent to forwarding agent only?

you please indicate how in what fnrm ? C
Does your forwarding agent serve without salary?,

In what form?_^ If it can be mailed to

What problems do you need help with, that Mission Services might provide?