lal Sch., could]

FORM 6

Club Sch, comid

9.

Educational qualifications

[& 26(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 deaired 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).

*11. The following persons may be referred to as to my character-

(o) Name

Address Address

Address Lunaeloobubon Date

+

(b) Name

13. I attach-

(*) two signed photographs of myself;

(b) medical certificate;

(c) educational certificates.

$13. I declaro that...

(a) I am a person of good character.

(b) I have never previously bean refused registration as 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 ar permission cancelled. 14. 1 on Aware that this in ап application to beach at

School only.

MONDOKANDENYNEETOVAT

15. The contents of Part II of this form are true to the best of my knowledge, Information and belief.

Director of Education,

Education Department,

HONG KONG.

1. I hereby apply request authority to employ--

Name in English

Name in Chinere

As an unregistered teacher at the

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),

Part IL

(To be completed by the person it is desired to employ as an un- registered teacher),

1. Name in English

KJERMANIA+kidele kledingAAA

Signature

(Unregistered teacher).

- Nate 1 Two reforges are required. They must be puckons of standing, ep. member

of Executive or Leglulative Council, Justles of the Fence, barristery-mt-lmer, Moleltarom, desnisters of religion, charlezed or incorporated accountants, paragna on the upecial Jury 1xt, deletered doctors de dentibt, and should normally live known the applicant well for at least three years.

↑ Make £. If educational certidumter srp vol, available at the time of completion or if ther

person bos nang tab should be deleted.

Nale & 1f persian completing Part II has been eonvicted of a criminal aftedce affzeling his character at refined rogistration ete. the full eleuantaneen must be disclosed.

FORM T

THE EDUCATION ORDINANCE, 1952. Authority to employ an unregistered teacher.

School.

2.

Name in Chinese

3.

Aliases

4.

Sex

KANNADA MOTONETARETAKOA

5.

Whether married or single

6.

Date of birth

JUNIOROVALLASJAONAREA MONT

7.

Place of birth

8.

Where educated with dates-

School or Univeralty

From

То

The supervisor,

(Copy to

30

I

the teacher)

Л

31

[8. 26(2).

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