}
A.
Application for Employment as Matron or Nurse
Colonies.
the
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 Associatiné
Name in full
Dat of Application
Profession or Occupation
Address
Father's Name
Tradeline Euphanel Graham, Dee & 18th 1916
Profession or Occupation
Кикл
48 Croydon Pith Breather &
Oralcolm Glam
Kene
61
|
Address ...
If dead, his Name and Profession
hould nevertheless be given.
Jay and
year
lace of birth
of birth...
Colonel
Read
Jan
• 1849
Age last birthday
35
Aldersho
Whether single, married, or a widow
Number of Children ... Sons
ducation
Mention the Schools or Colleges at which you received youreducation, professional as well as general; and give in each case the date of entry and leaving,
rofessional qualifi- cations, and the place and date at which each was obtained
mployment from ompletion of edu- eation to present ime
Mention each position
held by you, the dates between which you held it, and the cause of
leaving; and what salary you are receiving.
now
Appointment desired
If you do not apply for a ! particular appointment, you should stata to what Colonics you would go, and what is the lowest alary that you would Accept.
B & L (810w)—38422–1000-10-6
(J. 6.)
Daughters
Single
Aged respectively
25
Convent of here, Wide I. 6.W. & Continentat April 22 1892
3 year Weneral fertigente "Genist Timspital Joins aphil 224d 1907. C. M. Bruinstrangen dilat
5 years hurring in Seficia. Laining for C. Ph. is
Some Private Nursing
lic
3 years in Pransition for the Colonint
Didit
to
Durring Ana in
Harfon Emix & month. Sister's datits
3 Andrew bolles Bild & monthn
sống.
Jovernment Hospital Stong Kong.
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