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A.
22040
Application for Employment as Mata Nurse in the
Colonies.
Pic
27 [4
316
Form to be filled up by the Applicant herself, and sent to the Private Secretary to the Secretary of State, Colonial Office, London, by the Colonial Nursing Association.
Name in full
-
Date of Application
Profession or Occupation
Address
Father's Name
Mabel Bensou
June 12.
Surse
19 14.
ixes
34 Raleigh Rd - Exeter
Charles
Benson
Profession or Occupation Formerly Deputy Director Land Records & Agricultur
Address...
If dead, his Name and Profession hould nevertheless be given.
Day and year of birth...
Place of birth
34 Raleigh Rd Gruter
16 May Cocking tou
Whether single, married, or a widow
Number of Children
Sons
1883
Torquay single
Aged respectively
Madras
Age last birthday 3/
Jevou
Daughters
J1
**
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* 11
Education
Mention the Schools or Colleges at which you received your education. professional as well as general; and give in each case the date of entry and leaving.
Professional qualifi- place and date at
[cations, and the
which each obtained
Ladies Collye Diverton from Lipt: say to August 1980
The Queen's Hospital for Children Hauch 1905 to Dot 19 18
Et Homan's Hospital Jan 1908 to Jan
**
19 12.
Certificate of Training for Queen's Hospital for Children ( (formerly known as the north Easter Hospital for children) was Artificate of draining at It Thomas's Hospital.
mployment from
completion of edu cation to present time
H
Mention each position
held by you, the dates
between which you held
it, and the cause of leaving;
Lister So whomas's Hospital
Sister It Iloman's Hospital from rugi 1912. to Feb 19:14 in
and what Reason to leaving, to take out a course of tracing for the
CH 13 mamination & apply for work in the Colores.
salary you aro Dow receiving.
Appointment desired
If you do not apply for a particular appointment, you should state to what Colonies you would go, and what is the lowest alary that you would accept.
( B & 1. (810w)—8848)—–1000-10-0
(J. 6.) --
Hong Kong Civil Hospital.
[TURN OVER.