See NOTE 3. 参展附註三
See NOTE 4.
附註辉
(k) Details of occupations, other than teaching, since completion of education
黼核後所會從事教學以外之戲業詳情
Слано... Асестрал
pinblic
C... Preve. Accorpamant. J. is recording. I alle senert!
Piana Sule
(1) Details of all teaching experience:
# A# A * W:
work
(2) Trangdatione
と
(on musicn)
Date of
commencement
School
學校名稱
(month and year)
(THRIT
Date of leaving (month and year) ZDOB
Classes
Subjects
taught
taught
MMILU
Puking Teachers Training Sept. 1955 Sept. 1956 11 Yoon Piano
Cellege
Inver-Nicusoleon
Teachers Traning
Colle42
(1) Other relevant information
其他有關資料
Dec
Sepid 1958 Jun 1973 3rd-5th Piano
Year Music History (wiste
内蒙古師範學院講師學習 ........ A/R £ B 3 4 2 4 2 3 4
1962 C
2. The following persons who are/are not aware of the statements made on this form may be 關於本人之品格,請向下列常位諮詢人查詢。該兩位諮詢人對本表指內挖陳 referred to as regards my character:
各節均已知悉並未知悉:
(a) Name (r/Mrs./Miss):
(41) A&(22/RX/442)
姓名 先生/夫人/小姐) Address:
地址
傾
Dr. Duen Ho WJ 13.
8. Merary Rd, Wh, Kontora Tong
Jo Chere
complemen
Decupation: Senics. Lichiara. J. Engineer. Department. H. KM.
職業
(b) Name (Mr./Mrs./Miss)
姓名(先生/夫人/小姐)
12
(2) 68 (29/22/443) Dean 408 Claira Banholing Hil
Address:
地址
Occupation:
職業
Dr. Henry S.H. Ag..
Rectal Surge.co.
*
3.
I aflix above a signed full face photograph of myself and attach three signed copies of such 本人已在上前贴上部簽署之正面半身照片一張,現並隨同本表格夾附經簽署 photograph to this form.
之同操照片三張。
4.
I attach-
py
WWW --
(a) a medical certificate as to my health; and
(P) * X D IN A WA
(b) my educational certificates.
See NOTE 5.
(Z) & K DE V
Only ();
0,04 @mery
be priduced several men.
latin.
5. I am aware that if a permit to teach is issued in respect of the above application, it will apply 五、本人問意上患中毒如獲批准,最所發給之背准教學許可證只限本人在率表版
only to the school specified in paragraph 1 of Part 1 of this form.
雏
我所指定之學校任教。
6. The contents of this Part of this form are true and complete to the best of my knowledge 六、隙本人所知,本申請書之本部份内所填報各項均屬詳盡及確實無訛。
and belief.
2