Referees

Give the names and ad- dresses of two referees. They should be respon- sible persons who know you well, either in private life or pro- fessionally; and ove at least should be well acquainted with you in private life.

The

1. Name

Address

Occupation

names of distinguished 2. Name

persons should not be

given unless they really

know you well.

Address

here. Iindsay Whicke 24 Toll inglon Parks

Miss Poole

N.

General Hospital Colorubo

Cay lou

Occupation

Halton

10110052/1911

Miny

Madam

262

8 lave":

Testimonials.

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

(276)

DRAFT.

The Ston Sec.

Woe: Mersing Assi

Mr.

MINUTE.

HD Allen

Mr. Shirtle

Mr. Fiddes.

Mr. Just.

Mr.

Cox. C.

Sir C. Lucas.

Lord Lucus.

Frol Seely.

Mr. Harcourt,

2/

16

Laff me wor

Jamise to

the

ack, with thanks,

Receipt of your letty

of the

31es May & to

inform Tay

that

the

of

apht:

huse

the Itay Medical Deft is being offered

to thiss M. Anderton,

which

passed

dib Fo

af

to her being

physically

For service

827

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