REGISTRATION CARD

1. Name in full: Ikuziro Takagi Age in yrs: 26
2. Home address: RD 1 Hood River Oregon
3. Date of birth: November 31, 1890
4. Are you (1) a natural-born citizen, (2) a naturalized citizen, (3) an alien, (4) or have you declared your intention (specify which)? Alien
5. Where were you born? Niwase, Okayama, Japan
6. If not a citizen, of what country are you a citizen or subject? Japan
7. What is your present trade, occupation or office? Farmer
8. By whom employed? M.M. Hill
   Where employed? Hood River Oregon
9. Have you a father, mother, wife, child under 12, or a sister or brother under 12, solely dependent on you for support (specify which)? No
10. Married or single (which)? Single
    Race (specify which)? Mongolian
11. What military service have you had? Rank None; branch None
    years None; Nation or State None
12. Do you claim exemption from draft (specify ground)? No

I affirm that I have verified above answers and that they are true.

Ikuziro Takagi
(Signature or mark)

Front of card:

The text in the triangle, lower left corner, reads "If person is of African descent, tear off this corner."

REGISTRAR'S REPORT

1. Tall, medium, or short (specify which)? Medium
   Slender, medium, or stout (which)? Medium
2. Color of eyes? Brown Color of hair? Black Bald? No
3. Has person lost arm, leg, hand, foot or both eyes, or is he otherwise disabled (specify)? No

I certify that my answers are true, that the person registered has read his own answers, that I have witnessed his signature, and that all of his answers of which I have knowledge are true except as follows: [lines are blank]

Elmer C Brownlee
(Signature of registrar)

Precinct Pine Grove
City or County Hood River
State Oregon

June 5, 1917
(Date of registration)

Back of card: