Application for Promotion in the Colonial Service. 103

Form to be filled up by the Applicant himself, and returned to the Governor for transmission to the

Name in full

Date of Application

Present Appointment

Father's Name

Secretary of State for the Colonies.

Williain Brownlow take Moore

18* Afeil 1913.

98769

Michist Offices, toughing.

Joseft Henry heroil A.J. In (3.1.8)

Profession or Occupation fir Enginice

Address..

If dead, his Name and Profession

hould nevertheless be given.

Day and year of Birth...

Place of Birth

Bret trident I. C. E. d.

beared.

1879 Age last birthday 3

August

Navan, Co. Ineath. Decland.

nanied

Whether single, married, or a widower

Number of children...Suns

Age respectively

to childer

Daughters

17

"

Education

Mention the Schools or Colleges at which you rearived your education, professioual as well as general; and give in each case the date of entry and leaving.

Krogheda fram

Private hichon

School 1889-1892-

1892-1893

High School bathers 1893-1896,

Royal Coll. Physinans stay cons Ireland 1896-1902

KAPI

rofesional qualif. Lee, the mist. R.1.8.3}

fications (if any), and L, Lie. Mid. R.L.S.I

the date at which

1902

each was obtained. Li, mid. Rotunda Hospital butin 1982

Londre Sahoo & Serpico mucking arthente 1911(b) House Surgeon, Meath &ospital and County, completion of older bublin Infirmary-for-bec, 1903.

inployment from

edu-

cation to date of

entering the public

service

***

Shif. Lungerne, tudo thing steam havigative to

Mention each position 1904.

held by you, the dates between which you held it, and the causo of leaving,

Left both at termination of agreement.

[TURN OVER.

Share This Page