This four-page form is commonly found in the WO 364 pension series and this particular version, illustrated above, dates to March 1915 and was issued in a print-run of 70,000. Furthermore, this was the 39th printing of this particular form.
The form is useful as it gives a physical description of the man as well as his intended place of residence and the reasons for discharge.
The papers above, which are Crown Copyright and reproduced with the permission of the National Archives, relate to the war service of Sydney Crowhurst of Chailey who was discharged as a result of an inflamed heart muscle, or myocarditis, a condition that would kill him before the war was over.
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