1st Sch., cond]
FORM 6
[hat Sch, contd.
9.
Educational qualifications
[8. 28(1).
10.
Previous teaching experience——
School
Classes taught
Subjects taught
THE EDUCATION ORDINANCE, 1952.
Application for authority to employ an unregistered teacher.
Part 1.
(To be completed by the supervisor of the school in which it is desired to employ a person as an unregistered teacher or if the application is made at the game time as application for registration of the school by the person applying for registration of the school).
Director of Education,
Education Department,
HONG KONG.
Address Annesoobubrennooooon. Late
1. I hereby apply request authority to employ--
Name in English
Name in Chinese
As an unregistered teacher at the
*11. The following persons may be referred to as to my character-
+.
(o) Name
Address Address
(6) Name
19. I attach-
(*) two signed photographs of myself;
(b) medical certificate;
(c) educational certificates.
$13. I declare that—
(a) I am a person of good character.
(b) I have never previously bean refused registration A5 A manager of any school or as a teacher or been refused per- mission to teach or having been so registered or given per- mission to teach had my registration or permission cancelled.
va. I om aware that this la an application to beach at ****T+TORY******** School only.
15. The contents of Part II of this form are true to the best of my knowledge, Information and belief.
School.
the
2. In my opinion there is no suitable registered teacher available for employment.
by
3. Set out at Part II of this form are full particulars as supplied which I have checked to the best of my ability.
(Signed)
Date
(Supervisor, or applicant for registration of a School).
Fart IL,
(To be completed by the person it is desired to employ as an wa- registered teacher).
1. Name in English
Signature
(Unregistered teacher).
- Note 1. Two reformas are required. They must be purwone of atandlog, eg. memberi of Executive to Leglulutṭwe Council, Justice of the Peace, barrister-at-law, Vallclto, nafnisters of religion, chartered nur incorporated accountanto, paraqİNA on the special Jury Bet, de regletered doctors or dentibita, and should normally live knowɑ the applicant well for at least three FCHIL.
↑ Note 2. If educational certificates uro pol available at the time of completion or if the
person has nona tab thould be deleted.
Male
If persan completing Part II has heon sonvicted of a criminal offeder affecting Mi chatnoter at refined roglukration ete the full electonen meque by flaclosed.
2.
Name in Chinesa
3.
Aliases
4.
Sex
5.
Whether married or single
க.
Date of birth
JALANKANNENVANINDARAYANAMA Adana A MAMMA
7.
Place of birth
Where educated with dates-
School or Universlty
From
30
To
The supervisor,
(Copy to
FORM T
THE EDUCATION ORDINANCE, 1962. Authority to employ an unregistered teacher.
School.
the teacher)
31
[a. 26(2),