Name in full
Date of Application
Profession or Occupation
Address
Father's Name
Luer maria Jacobs
August 27th 1904
Trained Nurse
310 nos Silvester 11 London Road St. Albans.
Henry Jacobo Aquiculturist Dorchester Ozon
If dead, his Name and Profession
Day and year of birth
Place of birth
Whether single, married, or a widow
Number of children
Sons
Daughters
Henry Jacobs Aquiculturist Dorchester Ozon
January 13th 1871.
Doseliester
Single.
Aged respectively
Education
Mention the Schools or Colleges at which you received your education, professional as well as general; and give in Each case the date of entry and leaving.
Dorchester School, from :801) and rate fuction at intéwals Intecals Till 1901.
General Training at Kings College Hospital from August 15, 1894 August i 1897.
Medivifay training at Pictish deyimp in Hospital from Debruary. 3. 1904 till afil 30% 1904
Professional qualifications, and the place and date at which each was obtained
Trained Vicurse Kings College Hospital August 1 1897.
Cast: London Obstetrical Society thay 26 1904.
Employment from completion of education to present time
ieution each position held by you, the dates between which you held and the cause of learing; and what alary you are reviving.
Staff Nurse, Hospital Samaritano São Paulo, Brazil, from March 1595 till Pharele 1901.
Nation Hospital Samaritano São Paulo, Brazil from Thanche 1450. till September 1903, resiqued to return to England
Salary £120.0.0.
Temporary works is Private Nurse from Doecember till selvenery, and from June Tell August 19ou when waiting for vacancy as cleidinger pupil and Civil Hospital - Hong. Rong.
B & L (2502)—10481-500-7-3
(J. 6.)
Age last birthday 33 years
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S
A.
529
Application for Employment as Matron or Nurse in the
Colonies.
C.0.
Form to be filled up by the Applicant herself, and sent to the Private Secretary to Secretas
State, Colonial Office, London, by the Colonial Nursing Association.
Name in full
Date of Application
Profession or Occupation
Address
Father's Name
Luer maria Jacobs
August 27th 1904
Trained Nurse
Profession or Occupation
Address...
If dead, his Name and Profession
bald nevertheless be given.
Day and year of birth...
Place of birth
SEP 04
310 nos Silvester 11 London Road St. Albans.
Henry Jacoto Aquiculturist Dorchester Ozon
January 135 1571.
Doseliester
Whether single, married, or a widow
Number of children
Education
Mention the Schools or
Colleges at which
you received your education,
professional as well as general; and give in Each case the date of
entry and leaving.
rofessional qualifi- sations, and the place and date at which each was obtained
Employment from completion of edu- cation to present time
ieution each position held by you, the dates between which
you held and the cause of learing; and what alary you are reviving.
DOW
appointment desired
you do not apply for a particular appointment, You should state to what Colonies you would go, and what is the lowest salary that you would accept.
B & L (2502)—10481-500-7-3
(J. 6.)
Sons
Daughters
Single.
Aged respectively
Age last birthday 33 years
Dorchester School, tron frome :801) and rate fuction at intéwals Intecals Till 1901.
General Training at Kings College Hospital from August 15, 1894 August i 1897.
till
30°
1904
Medivifay training at Pictish deyimp in Hospital from Debruary. 3. 1904 till afil 30% Trained Vicurse Kings College Hospital August 1 1897.
Cast: London Obstetrical Society thay 26
1904.
Staff Nurse, Hospital Samaritano São Paulo, Brazil, from March 1595 till Pharele 1901.
Nation Hospital Samaritano São Paulo, Brazil from Thanche 1450. till September 1903, resiqued to return to England
1967
A
Salary
£120.0.0.
Temporary works is Private Nurse from Doecember till selvenery, and from June Tell August 19ou when waiting for vacancy as cleidinger pupil and
Civil Hospital - Hong. Rong.
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