Source: Michael Doyle Their Name Liveth For Evermore: The Great War Roll of Honour for Leicestershire and Rutland.
PD. He was the son of William Drakeley Hooke (Hook), born 1835 in Anstey, Leicestershire and his wife Ellen Hook (nee Froome, married in the 3rd quarter of 1867 in the Nottingham district), born 1843 in London, Middlesex. Edward was born in the 4th quarter of 1867 in St. Margaret’s, Leicester, he had one sibling, William Henry, born in the 3rd quarter of 1869 in St. Leonard’s Leicester, in April 1871 the family home was at Camden Street, St. Margaret’s, Leicester. In April 1881 Edward was employed as a shoe trade riveter and was residing in the family home at 10, Main Street, Anstey, together with his father, a shoe trade riveter, his mother, a shoe trade webber, and his siblings, William, a shoe trade riveter, Nathaniel John, a schoolboy, born 1872 in St. Margaret’s, Leicester, Thomas, a schoolboy, born 1873 in Newbold Verdon, Leicestershire, Frederick, a schoolboy, born 1875 and Frank, born 1878, the latter two siblings were both born in Sutton Cheney, Leicestershire and Walter Drakeley, born 1881 in Anstey. In April 1891 Edward was absent from the family home at Church Lane, Anstey, residing there was his widowed mother, a char woman and his siblings, Harry, a shoe trade riveter, Nathaniel, a shoe trade riveter, Thomas, a shoe trade riveter, Frederick, a shoe trade riveter, Frank, a shoe trade clicker, Walter, a schoolboy and William Drakeley, a schoolboy, born 1884 in Anstey. In March 1901 Edward was employed as a shoe trade riveter and was residing in the family home at Church Lane, Anstey, together with his wife Susannah Hooke (nee Smith, married on the 9th November 1895 in the Primitive Methodist Chapel, Barrow upon Soar, Leicestershire), born 25th April 1875 in Anstey and their children, Harriett, born 1896, Edward, born 1898 and Rachel, born 1900, all the children were born in Anstey. In April 1911 Edward was employed as a boot trade riveter, and was residing in the family home at Woodgon Road, Anstey, together with his wife Susannah Hooke, a boot trade machinist and their children, Harriet, a boot trade machinist, Edward, a boot trade pressman, Rachel, Hilda, born 1904, Walter, born 1906, Nelly, born 1908 and Nathaniel, born 1910, the latter four children were all born in Anstey. Edward died on the 10th March1919, aged 51 in Anstey and was buried on the 13th March 1919 in Anstey Cemetery. Edward’s father died in April 1900 in Leicester, his mother died in March 1917 in the Barrow upon Soar, Leicestershire district, and his widow died on the 17th February 1950 in Leicester.
Reproduced are a copies of Edward’s Attestation pages for his period of service with the 3rd Battalion Leicestershire Regiment - Militia and also with the 1st Battalion Leicestershire Regiment together with the accompanying content of additional descriptive service documents, additionally there are some pages for his service with the Royal Defence Corps together with the content of his medical discharge documents, however no Attestation page survives for this third period of military service.
Overall, most of the pages are in reasonable condition, the hand written information relating to his service, in some instances is barely legible, or missing entirely, however the overall description offers a fairly accurate representation of events that took place during his three periods of military service.
Army Form E.504.
MILITIA ATTESTATION OF
No. 1979. Name Edward Hooke. Corps. Third Battalion Leicestershire Regiment.
Questions to be put to the Recruit before Enlistment.
[1] What is your Name? [1] Edward Hooke.
[2] In what Parish, and in or near what Town, and in what County were you born?
[2] In the Parish of St. Margaret’s near the Town of Leicester in the County of Leicester.
[3] Are you a British Subject? [3] –.
[4] Where do you now reside?
[4] In the Parish of Anstey near the Town of Anstey in the County of Leicester.
[5] Where have you resided for the last twelve months?
[5] In the Parish of – near the Town of – in the County of - Same place.
[6] What is your age? [6] 18 Years – Months
[7] What is your Trade or Calling ? [7] Shoe hand.
[8] Are you an Apprentice? [8] No.
[9] What is the Name and Residence of your present (or former) Master ?
[9] Mr. Dexter in or near the Town of Cropston in the County of Leicester.
[10] Are you Single, Married, or a Widower? [10] Single.
[11] If Married, or a Widower, how many Children have you under 14 years of age? [11] None.
[12] Have you ever been sentenced to Penal Servitude? [12] No.
[13] Have you ever been discharged from any part of Her Majesty’s Forces with Ignominy, or as Incorrigible and Worthless, or on account of conviction of felony, or of a sentence of penal servitude, or have you been dismissed with disgrace from the Navy? And you are warned that you are liable to Penal Servitude if you make a false answer to this question. [13] No.
*[14] Do you now belong to, or have you ever served in, any Regiment, Brigade, or Corps in her Majesty’s Army or in the Army Reserve? [14] No.
*[15] Do you now belong to, or have you ever served in, the Marines? [15] No.
*[16] Do you now belong to, or have you ever served in, the Militia, or Militia Reserve. [16] No.
*[17] Do you now belong to, or have you ever served in, the Royal Navy? [17] No.
[18] Do you now belong to the Volunteers, or to the Naval Artillery Volunteers, or to the Royal Naval Reserve Force? [18] No.
[19] Have you truly stated the whole, if any, of your previous Service? [19] Yes.
[20] Are you in receipt of a pension for any such Service? [20] No.
[21] have you ever been rejected as unfit for Her Majesty’s Service? [21] No.
[22] Did you receive a Notice, and do you understand its meaning? [22] Yes.
[23] Who gave you the Notice?
[23] Name: Sergeant Major Veasey. Corps: - 3/Leicestershire Regiment.
[24] Are you willing to be attested for the term of † Six years (provided Her Majesty should so long require services), as a Militiaman for the County of Leicestershire to serve in the 3/Leicester Regiment.
[24] Yes.
I, Edward Hooke do solemnly declare that the above answers made by me to the above questions are true and that I am willing to fulfil the engagement made.
Edward Hooke SIGNATURE OF RECRUIT.
-?- C/Sergt. Signature of Witness.
OATH TO BE TAKEN BY MILITIA RECRUIT ON ATTESTATION.
“I, Edward Hooke do solemnly promise “and swear that I will be faithful to Her Majesty Queen Victoria, her heirs and successors, “and that I will faithfully serve in the Militia, until I shall be discharged.
Edward Hooke Signature of Recruit. -?- C/Sergt. Signature of Witness.
CERTIFICATE OF MAGISTRATE OR OF A COMMISSIONED OFFICER.
The Recruit above named was cautioned by me that if he made any false answer to any of the foregoing questions he would be liable to be punished.
The foregoing questions were then read to the Recruit in my presence.
I have taken care that he understands each question, and that his answer to each question has been duly entered as replied to, and the said Recruit has made and signed the declaration and oath before me at Leicester on this 28th day of September 1885.
- Signature of Magistrate.
-?- Captain. Signature of Commissioned Officer of Recruit’s Regiment.
*If so, the Recruit is to state the particulars of his former Service, and the cause of his Discharge, and is to produce, if possible, his Parchment Certificate of Discharge.
† Here insert six years, in the case of a man on first enlistment; and four years in the case of a man who has been discharged after completing at least one engagement and who re-enlists within one year of the date of his discharge.
If any alteration is required on this page of the Attestation, the Officer who attested the Recruit, or a Justice of the Peace, should be requested to make it and initial the alteration under Sec. 80. (6) Army Act 1881.
The Recruit should, if he require it, receive a copy of the Declaration on Army Form E.599.
MILITIA
Description of Edward Hook on Enlistment.
Age apparently 18 years – months.
Height: 5 feet 4¾ inches.
Chest Measurement: 32¼ inches.
Complexion: Fair.
Eyes: Grey.
Hair: Light Brown.
Religious denomination: Church of England.
Distinguishing Marks: Moles left shoulder.
I consider him fit for service in the Militia.
Date: 28th September 1885.
Place: Leicester.
STATEMENT OF SERVICES of No. 1979. Name Edward Hooke.
Corps in which served: 3/Leics. Regt.
Promotions, reductions, Transfers to other Corps. Re-engagements & c., & c., & c:
Attested.
Militia Rank: Private.
Period of Service in each Rank: From –28 Sept 1885 To: 29 March 1886.
Discharged by Purchase 29 March 1886.
Details of Service, showing whether Present or Absent from each Annual Training:
(Army Form B.265.) SHORT SERVICE
ATTESTATION OF
No: 1867. Name: Edward Hooke. Corps: Leicestershire Regt. Joined at: Leicester on 1st October 1886.
Questions to be put to the Recruit before Enlistment.
[1] What is your Name? [1] Edward Hooke.
[2] In or near what parish or Town were you born? [2] in the Parish of St. Margaret’s near the Town of Leicester in the County of Leicester.
[3] Are you a British Subject? [3] Yes.
[4] Do you know your Age? [4] Yes.
[5] What is your Age? (You are warned that if you give a false answer to this question you are liable to be severely punished) [5] 19Years – Months.
[6] What is your Trade or Calling? [6] Shoe.
[7] Are you, or have you been an Apprentice? if so, where? to whom? and for what period? [7] No.
[8] Have you resided out of your Father’s house for three years continuously in the same place, or occupied a house or land of the yearly value of £10 for one year, and paid rates for the same, and in either case, if so, state where? [8] No.
[9] Are you Married? [9] No.
[10] Have you ever been Convicted by the Civil Power? [10] No.
[11] Have you ever been discharged from any part of Her Majesty’s Forces with Ignominy, or as Incorrigible and Worthless, or on account of conviction of felony, or of a sentence of penal servitude, or have you been dismissed with disgrace from the Navy? (You are warned that there is a special provision in the Army Act which renders you liable to heavy Punishment if you make a false answer to this question). [11] No.
*[12] Do you now belong to, or have you ever served in Her Majesty’s Army, the Marines, the Militia, the Militia Reserve, or Royal Navy? If so, state which and cause of discharge. [12] Yes. 3rd Leicester. Discharged by Purchase.
[13] Do you now belong to the Volunteers, or to the Naval Artillery Volunteers? or to the Royal Naval Reserve Force? [13] No.
[14] Have you truly stated the whole, if any, of your previous Service? [13] Yes.
[15] Have you ever been rejected as unfit for Her Majesty’s Service? If so, on what grounds? [15] No.
[16] Are you willing to be vaccinated or re-vaccinated? [16] Yes.
[17] For what Corps are you willing to be enlisted, or are you willing to be enlisted for General Service? [17] For: Leicestershire Regiment.
[18] Did you receive a Notice, and do you understand its meaning, and who gave it to you?
[18] Yes. Name: Sgt. -?-. Corps: 17 -?-.
[19] Are you willing to serve for the term of 12 Years, provided Her Majesty should so long require your services, for the first seven years in Army Service, and for the remaining five years in the 1st Class of the Army Reserve, or if at the termination of such period of Army Service, you are serving beyond the seas, then for the first eight years in Army Service, and for the remaining four years in the 1st Class of the Army Reserve? [19] Yes.
[20] Are you aware, that, if at the expiration of the above mentioned term of Army Service, whether of seven or eight years, a state of war exists, you will be liable, if so directed by the competent Military Authority to serve in Army Service for a further term, not exceeding 12 months? [20] Yes.
[21] Are you aware that, if at the expiration of the above mentioned terms of Army Service, you are so required by a proclamation from her Majesty in case of imminent national danger or great emergency, you may be required to serve in Army Service so as to complete your term of 12 years, and for a further period not exceeding 12 months? [21] Yes.
[22] Are you aware that, if the above mentioned term of 12 years expires while you are on service with the Regular Forces beyond the seas, or while a state of war exists with a Foreign Power, or while Soldiers in the Reserves are required by proclamation to continue in or re-enter upon Army Service, you will be liable to serve for a further period not exceeding 12 months? [22] Yes.
I, Edward Hooke do solemnly declare that the above answers made by me to the above questions are true, and that I am willing to fulfil the engagements made
E. Hooke Signature of Recruit.
-?- Signature of Witness.
OATH TO BE TAKEN BY RECRUIT ON ATTESTATION.
I, Edward Hooke do make Oath, that I will be faithful and bear true Allegiance to Her Majesty, Her Heirs, and Successors, and that I will, as in duty bound, honestly and faithfully defend Her Majesty, Her Heirs, and Successors, in Person, Crown, and Dignity against all enemies, and will observe and obey all orders of Her Majesty, Her Heirs, and Successors, and of the Generals and Officers set over me. So help me God.
Witness my hand.
Signature of Recruit: E. Hooke.
Signature of Witness: G. W. Banks, Corpl.
CERTIFICATE OF MAGISTRATE OR ATTESTING OFFICER.
The Recruit above named was cautioned by me that if he made any false answer to any of the above questions he would be liable to be punished as provided in the Army Act.
The above questions were then read to the recruit in my presence.
I have taken care that he understands each question, and that his answer to each question has been duly entered as replied to, and the said recruit has made and signed the declaration and taken the oath before me at Leicester on this 1st day of October 1886.
Signature of the Justice: -?-
*If so, the Recruit is to be asked the particulars of his former Service, and to produce, if possible, his Parchment Certificate of Discharge, which should be returned to him on re-enlistment, conspicuously endorsed in red ink as follows, viz – (Name). – re-enlisted in the (Regiment) – on the (Date) -
Description of Edward Hooke on Enlistment:
Age physically equivalent to: 19 years – months.
Height: 5 feet 7 inches.
Weight: 115½ lbs.
Chest Measurement: 33¼ inches.
Complexion: Fresh.
Eyes: Hazel.
Hair: Brown.
Religious denomination: Church of England.
Distinctive marks: None.
Examined by me in accordance with the above Certificate, I consider him fit for the Army.
Date: 1st October 1886.
Place: Leicester.
S. Low, M.B. Brigadier Surgeon [Surgeon, Approving Medical Officer.]
STATEMENT OF SERVICES of No. Leics/1867. Name: Edward Hooke.
Corps in which served: Leics. Regt.
Battalion or Depot: Depot.
Promotions, Reductions, Casualties, &c: Appointed.
Army Rank: Private.
Period of Service in each Rank: From 1. Oct. 86 To:
STATEMENT OF SERVICES of No. 1867. Name: Edward Hooke.
Service towards limited engagement reckons from 1/10/86.
Posted to 1st Battalion Leicestershire Regiment as Private.
Awarded Good Conduct Pay on 31/3/89.
Forfeited Good Conduct Pay on 3/3/90.
Awarded Good Conduct Pay @ 1d on 3/3/91.
Awarded Good Conduct Pay @ 2d on 3/3/93. Transferred to the Army Reserve as Private on 13/3/94.
Discharged on termination of first period of limited engagement on 30/9/98.
Total amount of Service forfeited towards pension, and not allowed to reckon towards G.C. Pay brought forward from the old Record:
Total Service forfeited as above: 4 years 202 days.
Total Service towards Engagement to 30/9/98 (date of discharge) 12 years 0 days.
MILITARY HISTORY SHEET:
[1] Service at Home and Abroad (including former service of re-enlisted men, when allowed to reckon towards G.C. Pay or Pension).
Country: Home. From: 1st Oct 86. To: 6th Sept 88. 1Years 341 Days.
Country: Bermuda. From: 7th Sept 88. To: 27th Feby 1891. 2Years 174 Days.
Country: Halifax N.S. From: 28th Feby 1891. To: 24.3.93. 2Years 25 Days.
Country: Jamaica. From: 25.3.93. To: 7.3.94. - Years 348 Days.
Country: Home. From: 8.3.94. To: 30.9.98. 4Years 207 Days.
Total: 12 Years 0 Days.
[2] Educated at:
Royal Military Asylum -.
Royal Hibernian Military School: -.
[3] Name and Address of Next of Kin: Mother Ellen. Brothers younger, Harry, Nathaniel, Thomas, Frederick, Walter, William.
[4] Campaigns: None.
[5] Wounded: No.
[6] Effects of wounds: None.
[7] Special instances of gallant conduct: None.
[8] Medals, decorations, and annuities: None.
[9] Injuries in or by the Service: None.
[10] to whom Married Place and Date: Not married.
[11] Passed Classes of Instruction: None.
[12] Certificates of Education: None.
[13] Character on being passed to Reserve: On 1st transfer: Very Good. On 2nd transfer: -
[14] Numerical position on roll of Non Commissioned Officers on transfer to the Reserve: √.
[15] Character on being Discharged: √.
[16] Place of Discharge: Leicester.
[17] Intended place of Residence on Discharge: √.
[18] Cause of Discharge: √.
[19] Pension awarded: √.
[20] Died: √.
[21] Notes: √.
(ARMY FORM B. 178.) MEDICAL HISTORY:
To be used for recruits enlisting direct into the Regular Army only. Army Form B. 178A to be used for Special Reserve recruits and Special Reservists enlisting into the Regular Army.
Surname: Hooke. Christian Name: Edward.
Birthplace Parish: St. Margaret. County: Leicester
Examined on: - day of – 191- at -
Declared age: 47 years – days.
Trade or Occupation: Shoe Hand.
Height: 6 feet – inches.
Weight: 12 Stone 1lbs.
Chest measurement:
Girth when fully expanded 39 inches.
Range of expansion 2 inches.
Physical development: -.
Vaccination Marks: Arm Right: -. Arm Left: -.
When vaccinated: -.
Vision
R.E. – V =
R.E. – V =
[a] Marks indicating congenital peculiarities or previous disease: -.
[b] Slight defects but not sufficient to cause rejection: -.
Approved by (Signature) -- (Rank) --.
Enlisted at: Leicester On: 29 day of September 1915.
Joined on Enlistment: - Regt. No. 4873.
Transferred to: 156 Prot. Co. R.D.C.
Became non-effective by: Discharged under Para. 392 (xvi) King’s Regulations. No longer physically fit for War Service.
on: 3rd day of December 1918.
(Signature): H. A. -?-
(Rank): Capt.
ADMISSIONS TO HOSPITALS.
Surname: Hooke. Christian Name: Edward.
[Column 1] Station, or Troop Ship: -
[Column 2] Date of arrival at the station, or of Embarkation:
[Column 3] Admission into Hospital: -
[Column 4] Discharge from Hospital: -
Column 5] Diseases according to Nomenclature. (a) Primary. (b) Secondary): -
[Column 6] Number of days in Hospital: -
[Column 7] Remarks on nature of the disease; how induced; if mild or severe; if completely recovered from; whether any particular treatment was adopted. In venereal cases, state nature of primary disease, and whether mercury has been given. If an accident, state whether it occurred on duty.
[1] Leicester. [2] 1/10/86.
[1] York. [2] 31/12/86.
[1] Tynemouth. [3] 2/11/87 [4] 21/11/87. [5] Gouv??hosa. [6] 19. [7] Injections – Copai???
[1] York. [2] 9/7/88.
[1] HMS Ut-?-. [2] 6/9/88.
[1] Bermuda. [2] 22/9/88. [3] 4/12/89. [4] 9/12/89. [5] Inf. of glands. [6] 28. [7] -?-
[1] HMS O-?-. [2] 28/2/91.
[1] Halifax N.S. [2] 5/3/91.
[1] SS Jelunga.
[1] Newcastle. [2] 2/4/93.
[1] -?-. [2] 20/2/94.
ARMY FORM B. 103. Casualty Form – Active Service.
Regimental Number: 4873. Regiment or Corps: No. – Protection Company, Royal Defence Corps.
Rank: Pte. Surname: Hooke. Christian Name: Edward.
Religion: C of E. Age on Enlistment: 47 years – months.
Enlisted: [a] 29/9/15 Terms of Service: [a] d of War. Service reckons from: [a] 29/9/15
Date of promotion to present rank: -. Date of appointment to lance rank: -.
Extended: -. Re-engaged: -. Qualification: [b] -. of Corps Trade Rate: -.
Occupation: Boot Hand.
-?-, O.C. No. 156 Protection Coy., Royal Defence Corps. Signature of Officer.
Posted to 2.5th Battalion Leicestershire Regiment as Private on 29/9/15.
Transferred to 156th Protection Company, Royal Defence Corps as Private on 29/4/16.
Discharged under Para 392 (xvi) King’s Regulations, No longer physically fit for war Service on 3/12/18.
TABLE II. Only for admissions to Hospital or to the Sick List in case of Warrant Officers treated in quarters:
Name of Hospital: 5th Northern General Hospital, Victoria Road, Leicester.
Admitted to Hospital: 11/9/18.
Discharged from Hospital: 3/12/18.
Disease: T.B. Phithisis.
Number of days in Hospital: -.
Remarks bearing on the cause, nature or treatment of the case, likely to be of interest or of future use: In cases of syphilis, admissions and re-admissions to hospital will be shown. The subsequent progress, including particulars of treatment out of hospital, transfer, &c., will be given in the special syphilis sheet:
T.B. found in sputum. Medical Board. Discharge approved under para. 392 (xvi) King’s Regulations.
Army Form B. 179A.
NOTE:- This form is only to be forwarded to the Ministry of Pensions in cases of discharge under para. 392 (xvi, or xvia.), King’s Regulations, and in cases of discharge under para. 392 (vi), King’s Regulations, when the soldier has suffered impairment in health since his entry into military service, or in cases of transfer to Class P., or P. (T), of the Reserve.
In cases of soldiers not discharged or transferred to the Reserve as above, but who are qualified by length of service to consideration for a Service Pension this Form is to be sent to the Secretary, Royal Hospital, Chelsea, S.W.3.
Medical Report on a Soldier Boarded Prior to Discharge or Transfer to Class W., W. (T), P., or P. (T), of the Reserve.
[1] Unit and Corps: R.D.C.
[2] Regtl. No: 4873. [3] Rank: Pte.
[4] Name: (Surname) Hooke. (Christian Names) Edward.
[5] Age last birthday: 50.
[6] Posted for duty on: 1 Oct 15. at -?-, Hull in category (or grade) Don’t know. (Re-enlisted).
[7] Former Trade or Occupation: Shoe Trade.
[7a] If the soldier claims previous service in Army, he should state:-
[a] Former Regts. or Corps; with Regtl. No: 1st Leicestershire. 1867.
[b] Date of Discharge; 4 March 1894.
[c] Cause of Discharge; Time expired.
[d] Particulars of Pension or Gratuity (if any); 6d per day.
Statement of Case.
NOTE.- The answers to the following questions are to be filled in by the Medical Officer in charge of the case. In answering them he will take care to confine himself exclusively to the medical aspect of the case and to such information as may be recorded in the invalid’s military and medical documents. He will also carefully distinguish and clearly state when cases are due to venereal disease.
[10] If brought forward for invaliding, disability in respect of which invaliding is proposed to be stated here.
(Other disabilities should be reported upon in answer to question No.19). If no disability enter “nil.”
Phthisis Pulmonary.
[11] Date of origin of disability: About 7 – 8 months ago in Feb. 1917.
[12] Place of origin of disability: -?- Hull.
[13] Give concisely the essential facts of the history of the disability in so far as it is recorded in the Medical History Sheet bearing on the case and in other relevant official documents: Admitted while on leave from -?- Hull on 11.9.18 complaining of chest trouble.
[14] State whether the disabilities are – [a] attributable to: [b] aggravated by:
[i] Service during present war: [a] Yes. [b] -.
[ii] Previous active service: [a] -. [b] -.
[iii] Climate on pre-war service: [a] -. [b] -.
[iv] Ordinary military service before the war: [a] No. [b] -.
[v] Serious negligence or misconduct on the man’s part: [a] -. [b] -.
[14] [a] If not due to any of these causes to what specific condition do you attribute it? -.
[15] What is his present condition? (A note should be made as to Weight in all cases when it is likely to afford evidence of the progress of the disability.) Has persistent cough with -?- -?- containing T B in large numbers. Temperature varies from 100 – 101.6 since admission. -?- -?- -?- -?-. Copious -?- -?- -?-. Has lost, he states about 3 stones in weight during last 18 months.
[16] Was an operation performed? If so, when and what was its nature? No.
[17] If not, was an operation advised and declined? NA.
[18] *In the case of loss or decay of teeth. – Is the loss of teeth the result of wounds, injury or disease directly attributable to active service or through service under such conditions that dental treatment was unobtainable? NA.
[19] Give particulars of any other disabilities existing, but not in themselves sufficient to cause invaliding. State whether or not they are attributable to or have been aggravated by service during the present war, and if so, to what or by what specific military conditions? NA.
[20] Do you recommend –
[a] Discharge as permanently unfit? Yes.
[b] Change to United Kingdom? -.
NOTE – [b] is only applicable to soldiers invalided at Foreign Stations.
Medical Officer in charge of case: R.R. Young, Capt. RAMC.
Station: Leicester.
Date: 18.9/18.
Opinion of the Medical Board.
NOTES. – [i] Clear and decisive answers to the following questions are to be carefully filled in by the Board, as in the event of the man being invalided, it is essential that the Commissioners of Chelsea Hospital should be in possession of the most reliable information to enable them to decide upon the man’s claim to pension.
Expressions such as “may,” “might,” “probably,” etc., are to be avoided.
[ii] The rates of pension vary directly according to whether the disability is [a] caused or aggravated by service in the present war. [b] Due to causes not connected with the present war, viz., (1) Previous active service. (20 Climatic diseases in pre-war service. (3) Ordinary military service before the war. It is, therefore, essential when assigning the cause of disability to differentiate between them.
[21] Give diagnosis and particulars of :-
[a] Any disability claimed or discovered: Phthisis Pulmonary.
[b] The present condition thereof: -?- -?- -?- of lungs. T.B. in sputum. Has shortness of breath on -?- -?-. Pains in chest looks very ill.
[22] State whether the disabilities are – [a] attributable to: [b] aggravated by:
[i] Service during present war: [a] yes. [b] -.
[ii] Previous active service: [a] -. [b] -.
[iii] Climate on pre-war service: [a] -. [b] -.
[iv] Ordinary military service before the war: [a] -. [b] -.
[v] Serious negligence or misconduct on the man’s part: [a] -. [b] -.
Give details:
[22] (a) If not due to any of these causes, to what specific condition do the Board attribute it: [a] NA. [b] -.
[23] Is the disability in a final stationary condition? No.
If not
[a] How long is the present degree of disability likely to last? More than 12 months.
[b] If the present degree of disability is not likely to last 12 months can a further assessment at a reduced rate be made with reasonable confidence to cover a period of 12 months in all? If so, the reduced percentage and the period to which it will be applicable should be indicated in the answer to Question 24a. NA.
[24] [a] What is the degree of disablement at which, in the Board’s opinion, he should be assessed at present, independent of hospital or other treatment. (Degrees of disablement should be expressed in the following percentages : - 100, 80, 70, 60, 50, 40, 30, 20, less than 20, or Nil) (Vide Royal warrant of 17/4/18 issued as A.O. 162 of 1918, and Instructions to pension Boards) (assessment to be stated in words as well as figures). A hundred - 100%.
[b] In case of aggravation or where there is evidence that there was a disability on entry, what in your opinion was the degree of disablement which existed at the time of joining the Army? NA.
[25] If an operation was advised and declined, was the refusal unreasonable? NA.
[26] [a] Do the Board recommend discharge as physically unfit for further War Service, i.e., do they place him in Grade IV. only? Grade IV.
[27] Do the Board find that the soldier has suffered any impairment in health since his entry into the Service? Yes.
[28] Is treatment being recommended on Army Form B.179c?
[29] Does the soldier require :-
[a] An attendant for his journey home? No.
[b] Transport from railway station to his home? No.
[c] The constant attention of another person in his own home? No.
Station: Leicester.
Date: 24.9.18.
Signatures:
President or Chairman: J ? -?- Maj. RAMC.
Members: R. R. Young, Capt. RAMC.
Discharge approved under Para 392 (xvi) King’s Regulations.
Station: Leicester.
Date: 3rd Dec. 1918.
Signature: L. M. Harris, O.C. Col. RAMC.
Officer in charge, Central Hospital.
Administrator, 5th Northern General Hospital.
OR
Discharge approved under Para. 392 ( - ) King’s Regulations.
or Transfer approved to Class – of the Reserve.
(insert sub-para. King’s Regulations under which discharge is approved or insert W, or W. (T), P. or P. (T).
Station: -
Date: -
O.C. Discharge Centre: -
Form 90 (18278-8) Award Sheet. – First Award.
Code Number: G.P.36. 10840
Surname: Hooke. Christian Names: Edward.
Regiment: Roy. Def. Corps. 156th P. Coy. Rank: Private. Regtl. No: 4873.
Date of Discharge: 3.12.18. Prev. 1/10.86 – 29.9.15.
Cause of Discharge: (as on Army Form B.268) Physically unfit.
SERVICE:
Cols. 7. 5/12. Ovses. S.E. 4. 7/12. -?- A. Res. 4. 7/12. Genl. M.V. 3. 2/12. = 10. 7/12.
FOREIGN SERVICE:
Bermuda 2. 8/12. Halifax 2. 1/12. Jamaica 11/12.
Sanatorium Treatment is recommended as soon as can be arranged.
AWARD:
Pension, Gratuity, or Weekly Allowance.
Tuberculosis due to 100%. 27/6d for 52 weeks from 4.12.18.
Number of Children, and Allowance Granted.
15/10d for three (30.
Awarders Instructions.
Inform L.W.P.C re treatment in Sanatorium.
Obtain former D.D’s re service.
Next Board should state patients weight.
(Weight on entry being recorded as 12 st. 6 lbs) D.M.S. 23.12.18.
Particulars of any pension or Gratuity awarded in respect of previous service.
-.
To be left blank for award of Service pension by the Chelsea Commissioners.
-.
Pension Expires:- 2.12.19. Woodgon Rd., Anstey, Leicestershire.