3574
214 22nd May.]
A.D. 1931.]
[22nd May.
215
[A.D. 1931.
FORM II.
herewith the fee of $10*, and I promise, in the event of my being so registered, and in consideration thereof, to be bound by, and to conform in all respects to the Rules and Regulations for the time being in force.
I forward herewith my Certificate of Training (and
copy of the same) from....
If no certificate is held explain the reason.
The following are the places in which and dates of the times during which I was bona fide engaged as a nurse in attendance on the sick :-
FORM OF TESTIMONIAL AS TO CHARACTER.
Confidential.
To the NURSING BOARD FOR THE
COLONY OF HONG KONG.
I certify that I have known.. personally for.....
is of good moral character.
..years, and that she
REMARKS
PLACES.
DATES.
Month.
Year.
From...
to....
From....
to......
From....
Signature Address Occupation
Date......
(Note. This testimonial is to be sent to the Director of Medical and Sanitary Services.)
to..
From.....
to..
From..
to...
From..
to....
* If a nurse's application for registration is not accepted the $10 Fee will be returned.
FORM III.
FORM OF TESTIMONIAL AS TO CHARACTER AND PROFESSIONAL EFFICIENCY.
(To be given by a matron of a hospital, registered medical practitioner, or other responsible person under whom the applicant has worked during the three years prior to the date of the application.)
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