19

7. Give particulars of any physical impairment from which you may have suffered.

It is particularly import- aut that any nervous trouble such as neur- asthenia or an impedi- ruent in speechi should be mentioned.

8. State here whether you possess special know- ledge of any language other than English.

9. Schools in order,

giving dates of entry S.Michael's, Limpsfield

and leaving,

Dates

From

To

(Month & Year) (Mouth & Year)

Mention any Examina Oxford School Certificate with Sept. 1916 July 1929.

tions passed [e.g.

Matriculation, School or exemption from London Matriculation.

Higher any

distinctions gained in School leaving scholarship.

school work, games,

school societies, ele. Obtained hockey colours.

und positions of respon

sibility held. Give the Prefect for one year. Head girl for one year. namies of your Head or Head master. Revd H. Summerhayes.

House musters.

10. University (or other

similar Institution).

State (0) any sellarships Bedford College, London.

or prizes won.

(b) Subject or subjects

read in degree or diploma course.

Chemistry. Botany Zoology |

هر

(Month & Year) '(Month & Year)

Oct 1929 July 1933

(c) Athletic and other (Pure Hathematics in Intermediate)

non-academic dis-

tinctions.

(4) Give the name of

your college Tutor, Miss M. 8. Crewdson M.Sc.

or of the Professor

or Lecturer

know you best.

who warden of Notcult House.

11. Degree, Diploma, or

Professional Qualifica- |

tions

and the date BSC General Pass

at which each was obtained.

The result or class obtain-

ed in each part of your cours must be clearly shown here. If not completed at the time of application, give par- ticulars and date of final examination.

12. Civil employment or

occupation, from com-

pletion of education to Teacher in

present time.

[Any

Lany, puried spent under 8. Stephen's Girls' College,

articles should be included.]

Mention in chronological order each position held by you, the dates be- tween which you held it, and the cause of leaving; also any dates between which you were not employed. The name of each employer should be stated here, and his address should

also be given, unless it

is stated in Section 15.

Hồng Kông.

Principal Miss 7.8. Athuis

State present employment Teacher $126 HR.

and salary you are now

receiving.

per

month.

(Mouth & Year) (Month & Year)

Oct. 1933

13 Navy, Army, or Air Force service, if any. Rank held and any decorations, mentions in despatches, etc., obtained.

The names (with initials, rank, and Regiment) of the senior officers under whom you served in H.M.'s Forces, and the period of your service under euch officer, should be stated in Section 15 (b).

(If you were of military age, but did not hold commissioned rank or were exempted from military service during the Great War, you should submit your dis- charge Or exemption papers for inspection.)

14. Personal References.

Give the names and addresses of two referees. They should be responsible persons who know you well, either in private life OF in

business; and one at least should be well acquainted with you in private life. The names of relatives must not be given, nor Those of distinguished persous unless know you well.

they

Testimonials from your

personit relerees should not be sent.

(Month & Year) [(Month & Year)

1. Name The Rt. Revd. Bishop R. O. Hall,

Address Bishop's House, Hong Kong. Occupation Bishop of Hong Kong.

Period during which

he has known you

2. Name

1933-37

Mr J. Ralston,

Address Education Department, Hong Rong Occupation Inspector of English Schools.

Period during which

he has known you

15. (a) Testimonials. (Please read carefully.)

1933-37

24

The Secretary of State will not be able to consider a candidate unless, so far as possible, every stage of his career (including his education) is covered. You should therefore either submit testimonials with your application or arrange for testimonials to be sent direct to the Director of Recruitment (Colonial Service):

(a) The testimonials which you submit yourself should not exceed six in number, unless more are necessary to cover every stage of your career. They should all be sent in together unless undue delay would result. The originals and one copy of each should be enclosed; the former will be returned after inspection. Copies should preferably be on foolscap paper, and may be in MS., in print, or typewritten. If, for any reason, you experience difficulty in obtaining a testimonial to cover a particular period of your career, you should state the reason in writing. In this case the name and last known address of someone who would be in a position to report on your character and conduct during the period in question should be given.

(V) Should either you or the writer of a testimonial prefer that he should send it direct to the Director of Recruitment, there is no objection, but you should state hereon that he is doing so and for what period he will speak. The contents of reports or testimonials received by the Secretary of State direct can in no case be communicated to you at any time.

You should state, in the space below, the name, address, and occupation of the writer of each of your

testimonials, the period of your career for which he can speak, and the capacity in which he speaks.

Professor C. L. Boulenger, Professor of Zoology

Zoology in the University of London

1929-33. Professor J.F. Spencer, Professor of Chemistry in the University of London

1929-33 Mas M. S. Crewdson, warden of Notault House, Bedford College, London

1929-33

Miss J. S. attein's

J

Principal of 5. Stephen's Guits College, Hong Kong

1933-37

[TURN OVER.

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