Referees
Give the names and ad- dresses of two referees. They should be respou- sible persons who know FO well, either in private life or pro- fessionally; and onc at least should be well acquainted with you
in private life. The
1. Name
Miss Francis
Address Bedfor House
Barfow Cardiff
South
Occupation Matron. Private Hospital
vames of distinguished 2. Name Mrs Charles Lewis)
persons should not be
given unless they really know you well.
Address London Provincial Bank. Aberdare South Wales
Occupation
COLONIAL NURSES.
C.0.
30449
15 AUG 23
1
573
STATEMENT for the information of the Secretary of State for the Colonies, and for record in
Min Maude M. Abraham
in the Colony of Hong Kong
Civil Hospital
Colonial Office, respecting
an applicant for the post of
Nurse
QUESTIONS.
ANSWERS.
Testimonials.
Give the name, address, and occupation of the writer of each of your testimonials. Copies certified by the Colonial
Association must be sent for record in the Colonial Office. The Copies may be either in MS. or in print; a desirable, though not absolutely necessary, that they should be on foolscap paper not larger than this form.
(6820)
Miss Gertrude Richards
Lady Supt
Royal Ophthalmic Hospital
City Rd8.
1. If you be good enough to state how long you have been acquainted with the applicant?
From 1893 to 1894.
2. Under what circumstances does your knowledge of her arise?
Nursing in the same Hospital
3. While you were acquainted with her was she
a. honest ?
Yes
b. sober?
c. was her health good?
d. generally well conducted ?
4. If she has been employed under you, will you state the
nature of her duties, and how she discharged them?
Very good
was not employed under me fellow here but I believe she discharged her duty to the satisfaction of those over her
5. You state the cause of her leaving-whether by voluntary resignation, dismissal, or otherwise?
6. Voluntary resignation
[TURN OVER.