7. Employment or ex-
perience from com-
Kirklands Asylum, Bothwell, Scotland
pletion of education bet. 1904 - Oct. 1907. Beseguired $50 Danother Day
present
Mention each position Lick Wand Huse
held by you, the dates
between which you held lauault Wistuck Asylum, Harlwood, Scotlan
it, and the cause of leaving.
Lanark
Stato present employment c. 1907. sept. 1908. Refractory Wand Chande
and salary you are now receiving,
Reserved &ft marned.
L.C.C. Colors. Epsom. England.
June 1909. July 1952.
Unnel in wint Large Epileptic wand Temporary stead Unce
Rescind Daccompany mus
my
husband of
stris Kent.
(
Copy
•
COUNTY OF LONDON.
Epileptic Colony, Ewell, Surrey.
+
323
8. Professional qualifica-
tions (if any), and the date at which each was obtained. Give here full details of your service in H.M. For-
ces,
giving rank held, regiment, promotions, and any decorations, mentions in despatches, and certifi-
cates, etc., obtained. Any
special appointments, e.g., Staff Officer or Adjutant to be mentioned with
Medico-Peychological Association Cert: (Distin Way 1922.
From 1916-1919 was confidential clerk to the of L.C.C. was stock Sperm. Suurer,
Periods of comity (This adplum having been taken over
dates. service overseas to be clearly
given, stating country
and nature of appoint the Government as a
ment held.
4
Cemporary Militar
I hereby certify that Chrissy hurray me engaged in the service of this Colony from the 7th day of June, 1909, until the 7th day of July, 1922, as staff murae. Cauen of leaving - Voluntary lesignation,
General Conduct
Remarks
-
-
xcollent.
Very loyal member of the staff, who has throughout slim keenness and done work of inestimable value.
Dated this 28th day of Septembar, 1922.
(Sd.) 7. Roberts,
(ie,}
Alfred 0. Goodrich,
Chairman of Sub-Committen,
Wedical Superintendent.
9. Personal References.
Give the names and addresses of two referees. They should be responsi- ble persons who know you well, either in private life or in business; and one at least should be well acquainted with you
in privato life. The names
of distinguished persons should not be given unless they really know you well; and the names of relatives
or of those from whom
You Rend testimonials should not be given.
1. Name
Address
Tif. A. Colluis Sap! Wt: D..
Cautemy... Asylum
bhaillan Asyl
Occupation Medical Proper Ofen Asylum
Period during which
19.10 $date
he has known you 19.1.
2. Name... Clack Ey! wtd.
Address L.CC. Wental Hop Bexley, Occupation Medical Life of an Asylum
1.91.6 tdate
Period during which
he has known you
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