Referees
Give the names and ad- dresses of two referees. They should be respon- sible persons who know you well, either in pri- vate life or in business; and one at least should
be well acquainted with
you in private life. The
names of distinguished
1. Name
Address
John Hete her
Occupation
persons should not be 2. Name
given unless they really
"
Cheltenham
Pharmnerutical Chemi Walta Stills,
know you well.
Address
225 Oxford Street,
London. W.
Occupation Pharmaceutical Chemist.
[This half-sheet to be torn off, filled up, and returned in the envelope sent herewith.]
STATEMENT respecting
who is an applicant for
Inflat
Hot [W. Lucas
the post of assistant apotherway,
Hugkung
QUESTIONS.
ANSWERS.
1. Will you be good enough to state how long you have been
acquainted with the applicant?
Testimonials
Give the name, address, and occupation of the writer of each of your testimon. Not more than six should be submitted
originals must be sent inspection, they will be feturned if their return is requested and copies are sent with then! record in the Colonial fce. Copies may be either in M or in print; and it is desirable, though not absolutely nese that they should be op fodscap paper not larger than this farm.
2. From what circumstances does your knowledge of him
Arise?
405
Gail
2.
7.
1. From
to
July 1888
present date
He has been engaged as assist. ant under my daily saperosion since July 1888.
13. While yon were acquainted with him was he
3.
Yes
a. honest!
b. sober 1
c. generally well conducted?
C.
Yes
4. Was his health good?
4.
Yes
5. If he has been employed under you, will you state the nature
of his duties, and how he discharged them?
6. Will you state the cause of his leaving-whether by volun-
tary resignation, dismissal, or otherwise ?
6.
5.
"He has been employed as a Dispenser & has dischaud his duties to my entere satisfaction.
He is still employed here but can leave if he
lease of he gets this appointment
be
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