A.

Application for Employment as Matron or Nurse in the Colonies.

272

brm 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.

Ame in full

ate of Application

Thrace Edith thefatt.

Deburary 13 1919.

Opsion or Occupation. Trained Nurse. & bertified Midwife.

dress

ther's Name

Military Orthopedic Hosfilat.

busch ane. Shtry. William Wyatt..

Profession or Occupation. Builder & Decorator, retired from,

Address ...

If dead, his Name and Profession

ald nevertheless be given.

By

and year of birth...

14 Haddington Strat

July 12+ 1891

ace of birth Have. Sussex.

hether single, married, or a widow

mber of Children

Sons

Single.

Aged respectively

Street.

Hove.

Age last birthday 28 pars

Daughters

"?

21

heation

ation the Schools or alleges at which you beived your education. fessional as well as neral; and give in ch case the date of |

ry and leaving.

Connaugh Road. Higher Chrade School.

from 1898

1904

t's

fessional qualifi. Hammersmith Infinomany. Ducone Road.

tions, and the

hich each

ace and date at from thanh 1918 to March 1998 Shepherds Bush. W.

was St Marylebone dostitute, Corchurn behard St.

from a prie 1918 to October 1918.

tained

ployment

from

mpletion of edu- tion to present

each

Hrepical work.

ating evel position present position.

ld by you, the dates

tween which you held

and the cause of wing Ankl what ary you are Diving.

Dow

pointment desired ou do not apply for a Articuler appointment, should state to what Monics you would go, ! what is the lowest ary that you would

"Staff Nurse Militon, Ontha pardio Hos belas

Lus per

} L (610w)—38422-1000-10-5

(J. 6.)

BANUD,

burch Love..

Stong Song binil Stospital.

[TURN OVER.

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