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ENCLOSURE TO DESPATOR
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Na iitg
1. Med. Application for a Colonial Medical Appointme¶t.
REC?
111
Form to be filled up by the Applicant himself, and returned to the Private Secretary to skretary of State, Colonial Office, London.
1. Name in full
... Edward Leslie Martyn Lobb
Date of Application July ist. 1915
Saddress
Hong Kong & Thanghai Bank, London.
2. Professional qualifi- ¦ MRCA LECE 1907
1910
cations and the date.,. (tod) 1908 at which each Was JR.CA. (EM). Mis. (Lond.)
obtained.
Father's Name
1911
John Martyn Lobb. (deceased)
Profession or occupation Wesleyan Methodist Minister
Address
If dead, his Name and Profession
hould nevertheless be given.
4. Day and year of birth... March 21st. 1885
Place of birth
Bradford. Yorkshire.
Whether single, married, or a widower
Number of children..
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 received your pro- fessional education: and give in each case
the date of entry and leaving.
7. Mention any
.Sons
..Daughters
Age last birthday 30 geart
Married.
Aged respectively
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Manor House School. Clapham ?
Rydal Mount School.
p
· 1899
Colwyn Bay, North Wales. 1899-1902
Guy's Hospital, London A.h. 1902 - 1911
Junior Autone Duchan Prixe for dissection
| prizes, scholar- femin
ships, or other Prize for dissection
distinctions
Millor
gained during Char. Beaney Thine for Pahology.
your general
or professional
education
Treasurer's
Metal for Clinical Medicine
Jay's Hap til London Al
of Chas. Murchison Scholarship in Clinical Medica
from Royal College of Physicians of England.
subsequently;
also any con- tributions to medical litera- ture.
(74,756), Wt.89-592. 1000. 3/13. A.&E.W.
[TURN OVER.
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