Pages That Need Transcription
1
WAR HISTORY COMMISSION
STATE OF VIRGINIA
MILITARY SERVICE RECORD
Name in full
(family name): Banks
(first name): Thomas
(middle name):
Date of birth
(month): October
(day): 2nd
(year): 1893
Place of Birth
(town): Brownton
(county): Warren Co.
(state): Va.
(country):
Name of father: Benjaman Banks
Birthplace (country): Warren Co.
Maiden name of mother: Sophie Simms
Birthplace (country): Warren Co.
Are you White, Colored, Indian or Mongolian: Colored
Citizen (Yes or no): Yes
Voter (yes or no): Yes
Church (denomination): Baptist
Married: No
year:
at:
To (maiden name):
Born:
year:
at:
Children
(name):
Born:
year:
at:
Children
(name):
Born:
year:
at:
Children
(name):
Born:
year:
at:
Fraternal Orders:
College Fraternities:
Previous military service or training:
Education
(Preparatory):
(College):
Education
(University):
(Degrees):
Occupation before entry into service:
employer: Washington Limestone Co.
Residence before entry into the service
(street number):
(town): Elkton
(county): Rockingham
Present home address
(street number):
(town): Elkton
(county): Rockingham
(state): Va.
2
WAR RECORD
Inducted into service or enlisted on (date): October 27, 1917
at (place): Camp Lee
as a (rank):
in the:
section of the :
Identification number:
Assigned originally to
(company): 42
(regiment): Separate E.R.O.T.C.
(division):
(or)
(ship):
at (place):
Trained or stationed before going to Europe:-
School, camp, station, ship: Camp Humphreys
From (date): October 27th
to (date): Dec. 30
School, camp, station, ship:
From (date):
to (date):
School, camp, station, ship:
From (date):
to (date):
Transferred to:-
Company:
Regiment:
Division:
Ship:
Date:
New Location:
Company:
Regiment:
Division:
Ship:
Date:
New Location:
Company:
Regiment:
Division:
Ship:
Date:
New Location:
Promoted:-
From (rank):
to (rank):
Date:
From (rank):
to (rank):
Date:
Embarked from (port):
on (ship):
(date):
and arrived at (foreign port):
(date):
Proceeded from :
to:
(date):
From:
to:
(date):
From:
to:
(date):
Trained or stationed abroad:-
Country:
Place:
From (date):
to (date):
Country:
Place:
From (date):
to (date):
Country:
Place:
From (date):
to (date):
3
WAR RECORD
First went into action (place):
(date):
Participated in the following engagements:
Cited, decorated, or otherwise honored for distinguished services (give circumstantial accounts of exploits, including dates and places where performed, also by whom and in what manner the honors were bestowed): :
Killed in action, killed by accident, died of wounds, died of disease, wounded, gassed, shell-shocked, taken prisoner:
Nature of casualty:
(place):
(date):
Nature of casualty:
(place):
(date):
Nature of casualty:
(place):
(date):
Under medical care:-
Name of hospital:
Location:
From (date):
to (date):
Name of hospital:
Location:
From (date):
to (date):
Name of hospital:
Location:
From (date):
to (date):
Name of hospital:
Location:
From (date):
to (date):
Permanently disabled (through loss of limb, eyesight, etc.) (specify disability):
Arrived at (American port):
on (ship):
Date:
(from):
Discharged from service at (place): Camp Humphrey
(date): Dec. 30
as a (rank): First Class Private
RETURN TO CIVIL LIFE
Occupation after the war:
If a change of occupation was occasioned by reason of disability acquired in the service, describe the process of re-education and readjustment, and indicate the agencies or individuals chiefly instrumental in furnishing the new occupations::
