A.
578
Application for Employment as Matron or Nurse in the Colonies.
Form to be filled up by the Applicant herself, and sent to the Private Secretary to the Secretary of Slate, Colonial Office, London, by the Colonial Nursing Association,
}
Name in full
Date of Application
Florence Stuart Dupiny.
22.11.19
Profession or Occupation Trained Nurse.
Address
Father's Name
49.
Profession or Occupation
Address...
32
Sutherland St. Foredon. S.W.E- Charles Dupuy.
Stationer
49.
Sutherland St.. London. S.W. I.
Age last birthday
34 .
If dead, his Name and Profession
hould nevertheless be given.
Day
and
year of birth... 15
Place of birth
1854
"Jannuray Powerscriff-In Clapton Park.
Whether single, married, or a widow
Jumber of Children
Sons
Daughters
Single
Aged respectively
33
*
ducation
Mention the Schools er Colleges at which yon received your education. professional as well as Reneral; and give in each case the date of antry and leaving.
rofessional qualifi- sations, and the place and date at
Ihe Misses Butt. Elderfield Tid. Clapton Tack. 1891-1896.
St. Michael's. Westminster. Westminster Polytichinc Chelsea Hospital for mice University College her Toket of
Miwifery
1896
-T
0%
1899- 1899. 1902 March 1906.
You: 19
Sept 1gab
March qu May
S.AL
Certificate for Excogida jud
Chasca Dodal,
Certificate
March of 1406- for Beveral Nursing.
9
+
UC.N. Sepr.E
c
1710.
which ench was Cantificate fto Midwifery Claption Seb. & Nudinge "Mov: 144% ·
obtained
mployment from
completion of edu.
etion to present
ine
Certificate grated by
St. Mary's dopular.
Plaistow
Midwives Band.
Sister
april
1911. Ceug: 1914
Left on receiving Mobilization Orders.
Mim
17.
Caution each position Ternatorial Force Nursing Service. Sister. Aug 191 May
held by you, the datoa
between which you held
it, and the cause of
leaving and what
alary you aro
ceiving.
DOW
ppointment desired
you do not apply for a articular appointment on should state to what Colonies you would go, ad what is the lowest lary that you would; accept.
-I↓ L (610m) — 88422-1000-10-5
(J. 6.)
In London General Stoupital. Chelors m 1914-bet 1915
Cameral
Eineral Storpilul. Lemnos. Del 1912 for 1,16.
4
27
regript. fanligin
Demobilisation A
Stong Kong
Jet:
1947
bivil Hospital
[TURN OVER.