Application for Employment as Matron or Nurse in the Colonies.

To be filled up by the Applicant herself, and sent to the Private Secretary to RCD Secretary State, Colonial Office, London, by the Colonial Nursing Association 25 NOV 13:

Name of Application

Profession or Occupation

Address

Father's Name

Marguerite Elizabeth Moir.

18th November, 1903.

Nurse Present. Cæsarean Section? Brauch Seaman's Hospital.

Royal Albert Docks E.

Home. Ashlea, Barnhill, Forfarshire, Scotland.

Profession or Occupation

Address...

If dead, his Name and Profession

Frank Moir (dead)

Linen Manufacturer, Dundee.

Date of birth... 10 September 1875, Age last birthday 25 years.

3 Newhall Terrace, Bridgeton, Glasgow,

Place of birth

Whether single, married, or a widow

Number of children

Education

Name the Schools or Colleges at which you received your education, professional as well as liberal; and give in each case the date of entry and leaving.

Sons

Daughters

Single

Aged respectively

Harris Academy, Dundee, 7.B.

From about Sept. 1884 till June 1889.

Grove Academy Broughty Ferry, Dundee

Sept 1889 till June 1894

Professional qualifications, and the place and date at which each was obtained

Trained at Royal Infirmary Perth-8.B.

Employment from completion of education to present time

State in respect of each position held by you, the dates between which you held it, and the cause of leaving; and what salary you are now receiving,

Appointment desired

If you do not apply for a particular appointment, you should state to what Colonies you would go, and what is the lowest salary that you would accept.

from May 1899 till April 1902. 3 Years Certificate General of Fever Edinburgh Certificate for 3 months Maternity Assisting in home housekeeping from 1894 till going to Hospital in 1899. Charge nurse at Gordon Hospital, Vauxhall Bridge Road London, from Nov. 1902 till July 1908 Leaving then to come to the Brauch Seamen's Hospital for three months Training in Tropical diseases. No Salary at present. Civil Hospital. Hong Kong Nursing Sister.

(TURN OVER.)

(J. 6.)

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