Referees

Give the names and ad-:

dresses of two referesa. They should be respon- sible persons who know you well, either in

private life or pro- fessionally and one

at least should be well. acquainted with you in private life.

The

1. Name on Rees

Address

Rutland dodge

Albert Bridge Road

Battersea

Occupation married.

names of distinguished 2. Name persons should not be

given unless they really

know you well,

ons Baker Address Broughton

Cargali Avenue Aldershot

COLONIAL NURSES.

10387 149

24 HMP 14

STATEMENT for the information of the Secretary of State for the Colonies, and for record

the Colonial Office, respecting Kriss Helen Bone.

who is an applicant for the post of

Matron

Nurse in the Colony of

muss Sucks. Mr. London Hospital.

QUESTIONS.

Testimonials.

Occupation

married

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 M.S. or in print; and it is desirable, though not absolutely necessary, that they should be on foolscap paper not larger than this form.

(644x)

1. Will you be good enough to state how long you have been

acquainted with the applicant?

2. From what circumstances does your knowledge of her

arise?

1. Front

2.

to

Jan:

ANSWERS.

at 1910

The present dater-

She does not complete

un-

her engagement Wil May 26 th 1914 She was trained at the London Hospital & is still a member

8 While you were acquainted with her was she

3.

(a). honest ?

(b). sober?

Yes

b.

་་

(c). generally well conducted?

Was hor health good?

5. If she has been employed under you, will you state the

nature of her duties, and how she discharged them?

5.

of our

Marring Staff,

Yes. excellent.

She is a competent Medical & Surgical

Certified

She is a

Илин

Midwy

& also holdson Certificate for Managge She is well qualifed, all round" ~ ""Her desire to return To Hong Kong where her parent-live

6. Will you state the cause of her leaving-whether by ' 6.

voluntary resignation, dismissal, or otherwise?

I

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