8. Mention any
Clinical appoint- ments held—
Non-resident
Resident
Give the date and duration of each sp- pointment.
9. State how
you
have been en- gaged since you obtained a qualification
Mention each position
Othstaline, Chinment Assistant Whisper. London stopital. E.
IgH.
6 ho
5 years in Germe Practies
16-
at Bradford
Jorths from welcher 1905 - beleer 1910. bate the dead on Hospital studying for the
Pons that is Centuring from
held by you, the dates January 1911 - Intre 1912
between which you
hold it, and the cause
of leaving.
(Information
given
under 8 should not
be repeated).
10. If
you
apply
for a particular appointment.
state it...
If you do not apply for a particular appoint- ment, state to what Colonies you would go, giving the order of preference.
(Before filling in these particulars, you should read carefully
the papers headed Mis- cellaneous No. 99
and African (West). No. 678.)
11. Referees
Give the names and addresses of two re- sponsible persons who know you
well in private life. The names of distinguished ! persons should not be
given unless they
really know you well;,
Hunstan
+
present
China par July 1ser complyans not 20. Inden Frogtt, Grüns
Autory.
Sanitary
ނ
ay
presivne affomitment "Pattie thash affectual.
East afrin Protectivelo.
Preference for East
1. Name
Address
1.J.J.C. Johnson:
Shung King.
Chuni.
Occupation Pupil wie medies offices-
and the names of rela- 2. Name
tives or of those from
whom you send testi-
monials should not be i
given under any cir- cumstances.
12. Testimonials.
Address
Dr. 9.8. Jordan:
Hongkong. Chans.
Occupation, Hulshofpair of the
Port. Anything.
Give the name, address, and occupation of the writer of each of your testimonials. Not more than six should be submitted. The originals must be sent for inspection, but they will be returned if their return is requested. and if copies of them are sent for record in the Colonial Office. Copies may be in MS. or in print; and it is preferred that they should be on foolscap paper not larger than this form.
It is desirable, but not essential, than one of your testimonials should be from the Dean of the Medical School at which you were educated.
Should the writer of a testimonial prefer to send it direct to the Private Secretary, there is no objection to his doing BO.
198
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