A.
pplication for Employment as Matroner Nurse in the
Colonies.
488
a 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,
ue in full
of Application
sion or Occupation
her's Name
Profession or Occupation!
Address ...
If dead, his Name and Profession
l revertheless be given.
F and
year of birth...
er of birth
Agnes Lamond Stewart,
2815 veishu, 1919,
Morsing fromes.
10° Stacey's tursing Moun, Beofni,
John Stewart.
Shop Farmer! Omnesdel, Klure, Shan, 4.3.
Age last birthday
37 Fr.
(882 pril) Then, Troyeshiv Pestland,
ether single, married, or a widow
mier of Children
ication...
at the Schools or
lleges at which you eived your education.
fessional as well as merl; and give in
ch se the Ante of
try and leaving.
Sons
Daughters
Aged respectively
at
Z Aneatio privatel al-Thun, And at Miss on Ronpaces Thulo delNT, dosional qualit. General Training at Leith Strofilat
Edinburgh, from Sept. 1912 1915. C. on. 13 Centificate at Edugleges Royartharcount for June 1919 til Parque
tions,
the
see and date at
ich each Stained
was
ployment from mpletion of edu- stion to present
tion each position by you, the dates Been which held
yon the cause of
ng And what
N FOR ATE DOW
ving
intment desired!
do not apply for a kularappointment, ould state to what
bies you would go, What is the lowest
м.
that you would
General Training from 1912-1915. Surgical ward Protes from pet may 1916, until 15th April 1919. Dandhelgis prapril 1916. Orspical Closingstown! Private Aursing Brier 20th Kovemens. 1919. £3.1.3.6. per work,
(010#) — 3M4A2—1000-10-6
(J. B.)
Stong Kong Civil Strpitat
[TURN OVER
!