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I hereby declare that the above particulars are in every respect complete and true.
Signature of Applicant...
Signature of Witness.......
Address of Witness
Date...
† Name and Address of Referee as to Character.
† Names and Addresses of Referees as to Character, Training and Professional efficiency.
(1).....
(2).
† One of whom shall be a person not being a relative of the applicant, who has known her person- ally for not less than three years, and the others shall be persons such as matrons of hospitals, regis- tered medical practitioners, or other responsible persons under whom the applicant has worked.
(NOTE. The Forms for application for admission to other parts of the Register will be similar to the foregoing form, mutatis mutandis.)
Confidential.
FORM II.
FORM OF TESTIMONIAL AS TO CHARACTER.
To the NURSING BOARD FOR THE COLONY OF HONG KONG.
I certify that I have known...
personally for.
.years, and that she is of good moral character.
REMARKS.
Signature
Address. Occupation
Date...
(Note. This testimonial is to be sent to the Director of Medical and Sanitary Services.)
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