[69] Here state whether the Soldier is still in the Regiment; or dead; or discharged: if dead, whether he died in the Service; and, if discharged, the Date of his Discharge, and whether he was recommended to Chelsea.[70a] Here state the Service and present Situation of the Father; the Situation of the Mother (if living), and Number and Age of their other Children (if any).[70b] To be signed by the Parent, or Person who has Charge of the Child.