A..
Application for Employment as Matron or Nurse in the
Colonies.
275
Form to be filled up by the Applicant herself, and sent to the Private Secretary to the Secretary of State, Colonial Office, London, by the Colonial Nursing Association,
Name in full
Date of Application
>
Address
Ima Maria Alves
2/07
July 1911
Profession or Occupation Frained morse.
Father's Name
CO
24543
REC Rest 27.411 1
bant End Mother's Lenne, 396 Comment pd.
Undromies J. Alves.
Profession or Occupation (id) General ruschant
....12, Abrittnest And Thong kong Clusia
Address...
If dead, his Name and Profession
hould nevertheless be given.
bay and year of birth.... 9th Febrmany,
9th February 1882 Hong Kong, Chinna
lace of birth
Whether single, married, or a widow
uniber of children
Education
Mention the Schools or Colleges at which you received youreducation, professional as well as general; and give in
Sons
Daughters
Chingle
Aged respectively
51
Age last birthday 29.
Italian Convent Thong. hong. Chenna
(for more than 10 years)
One year as pupil teacher in the same
each case the date of school.
entry and leaving,
rofessional qualifi- Jarized very uncle 19 1410.
meral Alospital Borining.
18th
cations, and the
189 March
Incorporated Society, London
place and date at Joanie Meyering Incorporatio
which each obtained
was
Employment from
completion of edu-
tation to present time
Mention each position
held by you, the dates
it, and the cause of
Juny 19th
Certified underte
Central Mianive, Brand-20-2011|
Trobationes tons - Victor's running theme - The year
October 1906-
Munch 107 190 6,
more oftens training.
go per qua
A
More in training Generai Lispital bham Byear
Jaminatio
of
I
"agremment.
between which you held out more, Alisandra hurring Lione
& unther Cypris 10th 1910 - October 10th 1910. to the thre
comme of Indivifery Comming. at it Mary's Purons ge
leaving; and what
salary you ftre DOW
receiving
It George For Leave Enf: wand
7
begut hitzt best bund
Appointment desired offers fincre Prant Telang #30 per mmm.
you do not apply for a
particular appointment, you should state to what
Colonies £¥k would
go,
and what is the lowest salary that you would accept.
D&L (2500)--10481--600-7-3
(J. 6.)
Đang uống
Government (uch Heep in.
(TURN OVER.
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