A.
15 Application for Employment as Matron or Nurse in the Colonies.
20513
Form to be filled up by the Applicant herself, and sent to the Private Secretary to theRebretary of
State, Colonial Office, London, by the Colonial Nursing Association. RECP 25 AUG 09,
ime in full
Date of Application
Profession or Occupation
Address
Father's Name
Ellen Lucku
Alupust 5 1.909.
raia Pol: Aston, Bümingham
19 10 Victoria
Profession or Occupation:
Address ...
If dead, his Name and Profession:
hould nevertheless be given.
Day and year of birth...
Place of birth
Genje Eduri Lucku
57
معمولة
alager Died Dec: 1.8'89
On a 28 1876
Od Lol Hill, Bin
Whether single, married, or a widow
umber of children ...
Sons
Education
Mention the Schools or Colleges at which you received your education, professional as well as general; and give in feach case the date of
entry and leaving.
Daughters
Age last birthday 33
Simple
Aged respectively
Primate tuition, first alast fion delooking
ea
ફરજ બેન્ડ
Balool Astor, B'cham
11891
Professional qualifiifley Enfaction Hospital golk: Role attown Sept: 18988) cations, and the Cats feunal trailing Crumprate Exfinday Moment
was from Sept. 1999 to Sept 1902.
place and date at which each
Miou dise
sease
obtained C. Am. To. Certificate Culluprace Lufitany 23
» Park Hopilul Lewislaus May 19.05. eneral dopital Bham: Trap Num cation to present apr. 1903 to any got 2nd Lo obtain ful
ML
Employment from
completion of edu-
time
Mention each position
ست
مسة سمامة
Nursing Home, Brompton Rd.S.W
held by you, the dates Q10 5 Jo Jaw: 1906
between which yon held
it, and the cause of leaving;
and what
Salary Fon re now
receiving.
Colonial porpilah Gihaitar Bister, Jan 1900
all 1900 to Anay 19,09
Ja
My apporiutulent deviated Tien 30= 1909, + am at present in
Appointment desired
If you do not apply for a particular appointment, you should state to what Colonies you would go, and what is the lowest Balary that you would accept.
B&L (2500)-10461--500-7-3
(J. 6.)
Government Fremmenk Caal Hoefilat, seript of oro salary. I
cộng đồng.
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