Application for Promotion in the Colonial Service.
23
form in be filled up by the Applicant himself, and returned to the Governor for transmission to the
Jame in full
Date of Application
Secretary of State for the Colonies.
Willed Vincent Miller Koch
January 7. 1913
Britant superintendent. Gram tere at Civil Hospital
Present Appointinent
Father's Name
D
Profession or Occupation
Address...
Hasking
Edwin Lawson Koch
Principal-leyte Medical Coly.
leylne.
C.O.
If dend, his Samo and Profession
4327
should nevertheless be given.
Day and year of Birth...
Delta 29. 1862.
29.1862.
Age last birthday
Rece IDEAL & PER 13
36
Place of Birth
Leyla
pcanied
Whether single, married, or a widower
Number of children...Sons in Age respectively
Education
402
***
Mention the Schools or Colleges at which you received your education, professional as well as general; and give in ench ense the date of entry and leaving.
Daughters
ben.
11
";
St Manor' CM - Columby
1871 - 1876
Royal High Schost - Edinburgh 1876-1875 Edaihugh Unitust - 1879 – 18814
St Bartholomew's Hospital, Smithfield, Linda.. [C. 1896–96 London Schost. of Tropical Medition 1910.
Golden Square Hospital po Alicam of the Duraft hen 1858 "City of London (hionpålds) Hospital pelep Drican, Bacheln of Medicine & Master of Simpoy 18846
Professional qualif. Dorth of Medicine (with 89ld undal & Frist (laus hermos)
cations (if any), and the date at which each was obtained.
Employment from completion of edu- cation to date of entering the public
service
Mention each position held by you, the dates between which you held it, and the cause of leaving.
1855
Dyce, compones by the university of linkupt Imenos tertificate of the London. Sthost of Tropied predstime
1910
Britant Medical Officer Hill Borough Myhun 18844 --1888 ( lyt to undertake private positièe)
Medical Open, Carlton Main & Hemektm main
CMana
New
Bannky 1888 1889 (left m
tuthing the Cynical
[TURN OVER.