Form 35 D.
No.
47
This number is to be filled in by the Principal, to correspond with a number in his list of names proposed for adns- sion.
Training College, year 1889.
DECLARATION TO BE MADE BY PROPOSED STUDENTS BEFORE ADMISSION.
EACH Student must fill up, as well as sign, a form of this kind, with his or her own hand.
(1) Name in
fail.
(2) A Pupil Teacher in the National, &c..
School at
or other
late 2
description, as hereby declare that it is my bona fide intention to adopt and follow the profession of a the cune nay Teacher in--
raquire.
a. a Public Elementary School, or Training College; or
b. the Army or Navy; or
c. (within Great Britain) Poor Law Schools, Certified Industrial or Day
Industrial Schools, or Certified Reformatories;
and I acknowledge that, in entering this College, I take advantage of the Public and other charitable funds, by which it is supported, in order to qualify myself for the said profession, and for no other purpose.
(Signed)
Proposed Student.
After being read aloud, on the_
day of
1889,
in the presence of
R≈ 8 (35,679) 2250 8—88
(Signed).
Principal.
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