1986 Ed.]

Education Regulations

[CAP. 279

A 47

[Subsidiary]

(1) Details of all teaching experience:

Date of commence- ment (month and year) School Classes taught Subjects taught Date of leaving (month and year)

(m) Other relevant information See NOTE 2.

3. The following persons who are/are not aware of the statements made on this form may be referred to as regards my character: See NOTE 3.

(a) Name (Mr./Mrs./Miss) Address Occupation

(b) Name (Mr./Mrs./Miss) Address Occupation

4. I affix above a signed full face photograph of myself and attach 2 signed copies of such photograph to this application.

5. I attach---

(a) a medical certificate as to my health; and

(b) my educational certificates.

6. The contents of this application are true and complete to the best of my knowledge and belief.

(Signed)

NOTE 1:

NOTE 2:

NOTE 3:

NOTE 4:

To be completed only if the applicant is a married, divorced or widowed woman.

If the applicant has been convicted of a criminal offence affecting his character, or has been refused previously approval to be a manager, registration as a manager or teacher, or a permit to teach as a permitted teacher, or has had his approval to be a manager withdrawn or his registration as a manager or teacher or his permit to teach as a permitted teacher cancelled, the full circumstances of such matter must be disclosed.

2 referees are required. They must be persons of standing, e.g. members of the Executive or Legislative Council, Justices of the Peace, barristers-at-law, solicitors, ministers of religion, chartered or incorporated accountants, persons on the list of special jurors, registered teachers, doctors or dentists, etc., and must have known the applicant well for at least 3 years.

If educational certificates are not available at the date of the application, paragraph 5(b) may be deleted. However the applicant may be required to produce any such certificates at a later date for inspection.

See NOTE 4.

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