Original

Application for Promotion in the Gelonial Service,

·200

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

Name in full

Date of Application

Prent Appointment

Father's Name

+

Secretary of State for the Colonies.

Willian James

Women

Diente 20m 1917

hand weil Athen

15749

Consorten Sutemben und Grument civil Harp His

Samuel

Profession or Occupation

Address.

If dend, bis Name and Profession

should nevertheless be given.

Sungen

Wilma

Dead I fomenty Ramsgalt Rent)

Day and year of Birth... March of the 1872

Place of Birth

Ramsgate

Whether single, married, or a widower

Age last birthday 45

Kut

Manue

Number of children...Sons

Age respectively

1672

Daughters 2

18% +42

17

1

Puisti schools

1026

Winchester College.

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,

1886 - tn 1890

stomary Hofiel Padding 1890-1896

School of Tropical Medicine better to Dhamber 1909 (London)

Professional qualifi- cations (if any), and the date at which each was obtained.

MRES. LRCP (England) LSA (London) 1896

Panel excommst 4

The

7

London School of Trifice medians 1909

Employment from completion of edu

cation to late of entering the public service

Mention each position held by you, the dates between which you held

it, and the cause of leaving.

thatsing Officer Roynt See Bathy Erfing Anazole 16071846.97

medical offerin

Purite pancha

+

Grant Config 409 1847

Pomerten Kent 1895 to 1909. by Leathh Iron down

I was now aturant.

Redical Office attic

Ranc

Chatten. Engagment Tomato

1899 1804

C

1902. at Fat Pitc at and of sente afrim War.

[TURN OVER.

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