Serial No.:

Name

Sex

Age

Family's District:

Dialect spoken

:

J 25

Appendix XI.

TYPHOON RELIEF.

Details of family:

Where living at time of typhoon:

Occupation

""

17

**

Extent of human loss suffered

Extent of other loss suffered

:

:

Extent & nature of assistance sought:

Further Remarks:

·

Award:-Cash grant of $.

Loan of $.

To be repaid in instalments of $....... 1st repayment on 15th of 3rd Moon, 1938.

No interest.

.a Moon.

D.O., N.D.

37.

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