Referees

Give the names and addresses of two referees. They should be responsible persons who know you well, either in private life or professionally; and one at least should be well acquainted with you in private life.

1. Name: Sir C.Q. Cameron, C.B.

Address: 31 Pemble Rd, Dublin

2. Name: W. M. R. Congreve

Address: Legnerys only Swalls, Mains The Carth (dalin)

Occupation: Sister's Supper, Connaught Hospital, Aldershot

Phir J. B. Anderson, Portland, Australia 386 Oncopation Medical Offices of Healllyyn & late Malin Mother Hospital & post

Testimonials.

Give the name, address, and occupation of the writer of each of your testimonials. Copies certified by the Colonial Nursing Association must be sent for record in the Colonial Office. The Copies may be either in MS. or in print; and it is desirable, though not absolutely necessary, that they should be on foolscap paper not larger than this form.

Janes Barr M.D. H.R.C.P., 12 Rodney St, L'pool.

Chauncey Puzey M.A.C.S. Lg, Rockety, L'pool.

Thomas Bushby Dr. D, 43 Patheint St, Lipool

Ed: H. Dickinson In C. Oxo: J.D, 8 Croxlett Rd, R. Yerning

J. D. St. Col. R.Q., Jn. present address and bow

Col. R.A.M.C., J. C. Gormley address artin

perelli

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