Part 45, page 42
Document date 14 June 1943
FBI 164-81, Vault Part 45 p. 42 (DB Cooper-4665), Form, dated 14 Jun 1943, serial 16-177-034 (as read from the transcript) — cooper.theunsolved.net/parts/Cooper-Part-45/pages/42
Transcript
The scan is the source; the transcript is machine-generated from it.
PHYSICAL EXAMINATION AT PLACE OF ACCEPTANCE (Applicant stripped. See Instructions 3 and 7)
Height............inches; weight............pounds. Girth of chest (at nipples): At expiration...............inches. At inspiration...............inches. Vision: Right eye............... Left eye............... Eye conditions .............................. Hearing: Right ear............... Left ear............... Ear conditions .............................. Flat foot: .............................. Remarks: ..............................
I certify that I have personally examined the applicant, and that, to the best of my knowledge and belief, he fulfills the physical and legal requirements for enlistment, and is accepted for enlistment in ........................ for service in (if enlisted for service in any particular arm or service) (Instr. 2): ..................
Place........................................ Signature: ...................................... (Grade and organization) Date........................................ Name typed or stamped: ......................................, Enlisting officer.
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PHYSICAL EXAMINATION AT PLACE OF ENLISTMENT MADE BY AN AUTHORIZED MEDICAL EXAMINER (Applicant stripped. See Instruction 8)
Eyes.....brown..... Hair....brown..... Complexion....fair........... Height 72 1/2.........inches. Weight..148.......pounds. Girth of chest (at nipples): At expiration.........35........................inches. At inspiration...............................38....inches. General examination (physique, skin, head, chest, abdomen, extremities, etc.) .....normal..............................
General surgical conditions (including hernia, hemorrhoids, varicose veins, and state of abdominal wall and viscera)..normal..................
Organs of locomotion (including bones, joints, muscles, and tendons) .......Pes planus btx 1 degree, bilateral .......................................................non symptomatic not disqualifying.............................. Genito-urinary system (including functioning of kidneys).......normal.............................. Vision: Right eye....20/200 Left eye 20/200......... Eye conditions.....compound myopic astigmatism both eyes...... Hearing: Right ear...15/15.. Left ear......15/15..... Ear, nose, and throat conditions.........Normal.............................. Right (Examinee's) Left Teeth [diagram] 7 6 5 4 3 2 1 | 1 2 3 4 5 6 7 (Strike out those that are missing; circle those that may be restored) Mouth and gums.....................normal.............................. Cardio-vascular system.............normal..............................
Lungs..........normal...............X-Ray of chest negative.............................. Neuro-psychiatric examination.......normal.............................. ‡ Remarks ..............................
‡ I certify that I have carefully examined the applicant and have correctly recorded the results of the examination; and that, to the best of my judgment and belief, * he is mentally and physically qualified for service in the Army of the United States. [illegible crossed out text]
Place.....Detroit, Michigan......... Signature [signature: Willis A. Hasty] Date......June 14, 1943........... Name typed or stamped: WILLIS A. HASTY, CAPTAIN, MED[ical] Corps., Medical Corps.
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FINGERPRINTS—RIGHT HAND Fingerprint impressions will be made in this space in the case of every man enlisting and reenlisting in the Army of the United States.
1. THUMB 2. INDEX 3. MIDDLE 4. RING 5. LITTLE
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16—13321-1 DB Cooper-4665