CO129-422 - Governor Sir May - 1915 [5-6] — Page 202

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1. Med. Application for a Colonial Medical Appointment.

Form to be filled up by the Applicant himself, and returned to the Private Secretary to the Secretary of State, Colonial Office, London.

..... Inderich Zuidway Woods:

1. Name in full

Date of Application

Address

2. Professional qualifi- cations and the date Cat which each

obtained.

3. Father's Name

was

10. S. 15:

Alexandra Building's frt Thoor. Stony Kong. China

MB., BC, Cantal: 1904.

Profession or occupation

Address ...

If dead, his Name and Profession should nevertheless be given.

DP. H. Contab: 1911.

Thomas Words:

Aumana manager.

urance

42 Kenwork Road. Sheffold:

4. Day and year of birth... april 1880--

Place of birth

Lancaster:

Whether single, married, or a widower

Number of children....... Sons

5. Education

(general)

Mention the Schools, Colleges, and Univer- sities at which you received your general education; and give in each case the date of entry and leaving,

6. Education

(professional)

Mention the Schools, Colleges, and Univer-

sities at which you

¦

.Daughters

Age last birthday 35 Hair

Manus:

Aged respectively

Private School

To the age

>>

25

Oud

Private Inter

of 14 years:

Jonville Laws Come ge

Considge

behober. 1897 to June 1900.

University:

London E

1904

Gund 1910-191 .

fessional education; The London Hospital.

received your pro-

and give in each case

the date of entry and

(

leaving.

7. Mention

any

prizes, scholar- ships, or other distinctions

gained during your general or professional i education subsequently; also any con- tributions

or

to

medical litera- ture.

1907

"Stookworm in Frust China?

Frankies kad lefor thie Far Eastern Lucky'

Tropical Medicine at Saigon

(74,756), W1.89-592. 1000. 3/13. A.&E.W.

f

1913.

Indo Chic.

[TURN OVER.