A.

270

Application for Employment as Matron or Nurse in the

Colonies.

m 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.

ne in full

te of Application

ofession or Occupation.

dress

her's Name

Beacha Alema

Certified Nurse.

Lambuth Infrimary. Sandow. S. E.

Profession or Occupation

Address...

If dead, his Name and Profession

id nevertheless bo given,

Gheorge. T. Thomas Carton Spinner

سانه

and year of birth... August. Conde 1889

ace of birth

Bolton. Lancashire

hether single, married, or a widow

amber of Children

ucation

ution the Schools or olleges at which you bceived your education, rofessional na well as neral: and give in Ach case the date of

atry and leaving.

rofessional qualifi- itions, and the lace and date at hich each was btained

ployment from

Sons

Daughters

Age last birthday 33.

Single

Aged respectively

"

Birley High School. Ananchester

ex

neral officering Bertifiqute I am beth Sufishmarry.

may 1919.

6. qu. B. Gertificate. February. 1920.

Lambuth Infiammary

mpletion of edu- Probations Nurse

ation to present [

ation each position

quidwifery Puput

Seld by you, the dates: The alre

tween which you held

and the cause of ving; Kd what lary you are NOW

ppointment desired you do not apply for a articular appointment,

should state to what! olonies you would go,

nd what is the lowest i Mary that yon would

Opt.

4

19191

બ્૭

1916 to 1919

1920. Present time

Theatre Staff Nurse 1980"

3L (810w)—38482-1000-10-6

(J. 6.)

I alany at present. I 75 per

Story Slong bint Sospital.

TURN OVER.

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