CO129-325 - Public Offices & Others - 1904 — Page 389

CO129 Colonial Office Hong Kong Records 理藩院香港檔案 All AI Reviewed

Referees

Give the names and addresses of two referees. They should be responsible persons who know you well, either in private life or professionally; and one at least should be well acquainted with you in private life.

1. Name: Sir C.Q. Cameron, C.B.

Address: 31 Pemble Rd, Dublin

2. Name: W. M. R. Congreve

Address: Legnerys only Swalls, Mains The Carth (dalin)

Occupation: Sister's Supper, Connaught Hospital, Aldershot

Phir J. B. Anderson, Portland, Australia 386 Oncopation Medical Offices of Healllyyn & late Malin Mother Hospital & post

Testimonials.

Give the name, address, and occupation of the writer of each of your testimonials. Copies certified by the Colonial Nursing Association must be sent for record in the Colonial Office. The Copies may be either in MS. or in print; and it is desirable, though not absolutely necessary, that they should be on foolscap paper not larger than this form.

Janes Barr M.D. H.R.C.P., 12 Rodney St, L'pool.

Chauncey Puzey M.A.C.S. Lg, Rockety, L'pool.

Thomas Bushby Dr. D, 43 Patheint St, Lipool

Ed: H. Dickinson In C. Oxo: J.D, 8 Croxlett Rd, R. Yerning

J. D. St. Col. R.Q., Jn. present address and bow

Col. R.A.M.C., J. C. Gormley address artin

perelli

Page 27

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Referees Give the names and addresses of two referees. They should be responsible persons who know you well, either in private life or professionally; and one at least should be well acquainted with you in private life. 1. Name: Sir C.Q. Cameron, C.B. Address: 31 Pemble Rd, Dublin 2. Name: W. M. R. Congreve Address: Legnerys only Swalls, Mains The Carth (dalin) Occupation: Sister's Supper, Connaught Hospital, Aldershot Phir J. B. Anderson, Portland, Australia 386 Oncopation Medical Offices of Healllyyn & late Malin Mother Hospital & post Testimonials. Give the name, address, and occupation of the writer of each of your testimonials. Copies certified by the Colonial Nursing Association must be sent for record in the Colonial Office. The Copies may be either in MS. or in print; and it is desirable, though not absolutely necessary, that they should be on foolscap paper not larger than this form. Janes Barr M.D. H.R.C.P., 12 Rodney St, L'pool. Chauncey Puzey M.A.C.S. Lg, Rockety, L'pool. Thomas Bushby Dr. D, 43 Patheint St, Lipool Ed: H. Dickinson In C. Oxo: J.D, 8 Croxlett Rd, R. Yerning J. D. St. Col. R.Q., Jn. present address and bow Col. R.A.M.C., J. C. Gormley address artin perelli Page 27
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Referees Give the names and ad- dresses of two referees. They should be respon sible persons who know you well, either in private life 01 pro- fessionally; and one at least should be well acquainted with you in private life. The 1. Name Address Sir C.Q. Cameron, C.B. J 31 Pembedle Rd Dublu Phir J. B. Anderson. Portland Australia 386 Oncopation Medical Offices of Healllyyn & late Malin Mother Hospital & poot names of distinguished 2. Name persons should not be given unless they really know you well. Address W. M. R. Congreve Legnerys only Swalls. Occupation home. Mains The Carth (dalin) Sister's Suapler Connaught Hospital Aldershol Testimonials. Give the name, address, and occupation of the writer of each of your testimonials. Copies certified by the Colonial Nar Association must be sent for record in the Colonial Office. The Copies may be either in MS. or in print; and desirable, though not absolutely necessary, that they should be on foolscap paper not larger than this form, (27) Janes Barr M.D. H.R.C.P. 12 Rodney Il L'pool. Chauncey Parzan #.A.C.S. Lg Rockety L'pool. Thomas Bushby Dr. D 43 Patheint St Lipool Ed: H. Dickinson In C. Oxo: J.D 8 Croxlett Bd R. Yerning Jn. D. St. Col. R.Q. present addiers and bow Col. R.A.M.C. J. C. Gormley adders artin perefli man en samen te avesom. mak
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Referees

Give the names and ad- dresses of two referees. They should be respon sible persons who know you well, either in private life 01 pro-

fessionally; and one at least should be well

acquainted with you

in private life.

The

1. Name

Address

Sir C.Q. Cameron, C.B. J

31 Pembedle Rd

Dublu

Phir J. B. Anderson.

Portland

Australia

386

Oncopation Medical Offices of Healllyyn & late Malin Mother Hospital & poot

names of distinguished 2. Name

persons should not be

given unless they really

know you well.

Address

W. M. R. Congreve

Legnerys only Swalls.

Occupation

home.

Mains The Carth (dalin)

Sister's Suapler

Connaught Hospital

Aldershol

Testimonials.

Give the name, address, and occupation of the writer of each of your testimonials. Copies certified by the Colonial Nar Association must be sent for record in the Colonial Office. The Copies may be either in MS. or in print; and desirable, though not absolutely necessary, that they should be on foolscap paper not larger than this form,

(27)

Janes

Barr M.D. H.R.C.P. 12 Rodney Il

L'pool.

Chauncey Parzan #.A.C.S. Lg

Rockety

L'pool.

Thomas Bushby Dr. D

43 Patheint St

Lipool

Ed: H. Dickinson In C. Oxo: J.D

8 Croxlett Bd

R. Yerning

Jn. D. St. Col. R.Q.

present addiers and bow

Col. R.A.M.C.

J. C. Gormley adders artin

perefli

man en samen te avesom. mak

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